Medicina intensiva最新文献_第6页

Monitoring through electrical impedance tomography in pediatric ECMO. 通过电阻抗断层扫描监测儿科 ECMO。

Medicina intensiva Pub Date : 2025-02-24 DOI: 10.1016/j.medine.2025.502155

Gabriel Appendino, Fernando Paziencia, Carlos Lovesio

引用次数: 0

Stroke in the pediatric intensive care unit.

Medicina intensiva Pub Date : 2025-02-24 DOI: 10.1016/j.medine.2025.502154

Javier Zorrilla Abad, Débora Sanz Álvarez, Gema Manrique Martín, Laura Herrera Castillo, Jesús López-Herce Cid

{"title":"Stroke in the pediatric intensive care unit.","authors":"Javier Zorrilla Abad, Débora Sanz Álvarez, Gema Manrique Martín, Laura Herrera Castillo, Jesús López-Herce Cid","doi":"10.1016/j.medine.2025.502154","DOIUrl":"https://doi.org/10.1016/j.medine.2025.502154","url":null,"abstract":"Objectives: To analyze the frequency, causes, risk factors, mortality and sequelae of stroke in children admitted to the pediatric intensive care unit (PICU).Design: Single-center retrospective observational study based on a prospective database.Setting: Pediatric intensive care unit.Patients: Children between one month and eighteen years of age admitted to the PICU and diagnosed with stroke were included.Main variables of interest: Epidemiological, clinical, diagnostic and treatment data, sequelae and mortality were recorded.Interventions: None.Results: 46 patients were studied, of whom 29 (63%) had an ischemic stroke, 14 (30.4%) a hemorrhagic stroke, 1 (2.2%) venous sinus thrombosis and 2 (4.3%) mixed stroke. 11 patients (23.9%) had heart disease and 7 (15.2%) were treated with extracorporeal membrane oxygenation (ECMO) or ventricular assist. 8.6% of patients were treated with fibrinolysis or thrombectomy. 9 patients (19.6%) died. Patients with heart disease and those treated with ECMO had a higher mortality rate. 23 children, 62.1% of survivors, suffered sequelae at discharge. The most frequent sequelae were hemiparesis. Sequelae were significantly more frequent in patients who presented with motor symptoms (76.2%) (p < 0.001).Conclusions: The frequency of ischemic stroke in pediatric patients is higher than that of hemorrhagic stroke. Pediatric patients who suffer a stroke have a high mortality rate and a high rate of sequelae. Patients with heart disease and those treated with ECMO are those who present stroke most frequently and have a higher mortality rate.","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":"502154"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is it time to measure disease-free survival in critical oncology population? 现在是衡量关键肿瘤人群无病生存期的时候了吗？

Medicina intensiva Pub Date : 2025-02-24 DOI: 10.1016/j.medine.2025.502157

Elena Cuenca-Fito, Eric Mayor-Vázquez

引用次数: 0

Diagnosis of colitis by ultrasound in an Intensive Care Unit.

Medicina intensiva Pub Date : 2025-02-21 DOI: 10.1016/j.medine.2024.502115

C M Marín Marín, P García Moreno, R Vicho Pereira

引用次数: 0

What predictive scores don't talk about.

Medicina intensiva Pub Date : 2025-02-19 DOI: 10.1016/j.medine.2025.502158

Marcos Valiente Fernández, Cristina Serrano Gómez, Amanda Lesmes González de Aledo, Isaías Martín Badía

引用次数: 0

Changes in the stress hormone cortisol during intensive care unit stay as a predictor of objective cognition at discharge.

Medicina intensiva Pub Date : 2025-02-18 DOI: 10.1016/j.medine.2025.502166

Guillem Navarra-Ventura, Marta Godoy-González, Lluís Blanch, Josefina López-Aguilar, Sol Fernández-Gonzalo

引用次数: 0

Acute aortic syndrome and cardiogenic shock, beyond radiological diagnosis.

Medicina intensiva Pub Date : 2025-02-17 DOI: 10.1016/j.medine.2025.502124

Hala El Haddad, Isabel Espinosa Rueda, Nora Palomo-López

引用次数: 0

Association between lactate-to-albumin ratio and all-cause mortality in cirrhosis patients: Analysis of the MIMIC-IV database.

Medicina intensiva Pub Date : 2025-02-15 DOI: 10.1016/j.medine.2025.502145

Yusong Ye, Shu Huang, Xiaohong Wang, Wensen Ren, Xiaomin Shi, Sha Liu, Wei Zhang, Lei Shi, Muhan Lü, Xiaowei Tang

{"title":"Association between lactate-to-albumin ratio and all-cause mortality in cirrhosis patients: Analysis of the MIMIC-IV database.","authors":"Yusong Ye, Shu Huang, Xiaohong Wang, Wensen Ren, Xiaomin Shi, Sha Liu, Wei Zhang, Lei Shi, Muhan Lü, Xiaowei Tang","doi":"10.1016/j.medine.2025.502145","DOIUrl":"https://doi.org/10.1016/j.medine.2025.502145","url":null,"abstract":"Objective: This study evaluates the predictive value of the lactate/albumin ratio (LAR) for all-cause mortality in cirrhosis patients.Design: Retrospective observational study.Setting: Intensive care unit (ICU).Patients or participants: 626 first-time ICU-admitted cirrhosis patients in the USA (MIMIC-IV v2.2).Interventions: None.Main variables of interest: LAR index, 28-day, and 90-day all-cause mortality.Results: Of 626 patients (60.86% male), 27.80% and 39.14% died within 28 and 90 days, respectively. Multivariate Cox analysis showed a significant association between higher LAR and mortality. Adjusted for confounders, elevated LAR increased the 28-day mortality risk [HR: 1.31 (1.21-1.42), P < 0.001]. A restricted cubic spline analysis revealed non-linear relationships between LAR and mortality. For 28-day mortality, the inflection point was 1.583: below this, HR was 2.29 (95% CI: 1.61-3.27, P < 0.001); above, HR was 1.16 (95% CI: 1.02-1.31, P = 0.021; P = 0.002). For 90-day mortality, the inflection point was 1.423: below, HR was 1.60 (95% CI: 1.04-2.47, P = 0.033); above, HR was 0.94 (95% CI: 0.75-1.16, P = 0.542; P = 0.012).Conclusions: LAR predicts 28-day and 90-day mortality with a segmented effect. An LAR ≥1.583 signals high 28-day mortality risk, necessitating intensified monitoring and potential ICU admission. For 90-day mortality, LAR near 1.423 serves as an early warning for high-risk patients and guides interventions. Continuous LAR monitoring aids management, but prospective studies are needed to confirm clinical utility.","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":"502145"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant ventricular pseudoaneurysm after acute myocardial infarction.

Medicina intensiva Pub Date : 2025-02-11 DOI: 10.1016/j.medine.2025.502120

Javier Ceña Carazo, Marlene Feo González, Adolfo Iñiguez de Diego

引用次数: 0

Evaluation of training models as a method to improve the acquisition of skills in Intensive Care Medicine.

Medicina intensiva Pub Date : 2025-02-06 DOI: 10.1016/j.medine.2025.502141

Ana Rodríguez Alcaraz, Federico Gordo Vidal

引用次数: 0