Search Results
Results 1 - 50 of 1292
1 2 3 4 5 6 7 8 9 10 >
Ichimaru Satomi S Department of Nutrition Management, Kobe City Medical Center General Hospital, Kobe, - - 2014
Background: Although nutrition support is essential in intensive care units, optimal energy intake remains unclear. Here, we assessed the influence of energy intake on outcomes of critically ill, underweight patients. Methods: A retrospective chart review was conducted in patients with body mass index (BMI) of <20.0 kg/m(2) in an emergency ...
Peev Miroslav P MP Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, - - 2014
BACKGROUND: MALNUTRITION AND UNDERFEEDING ARE MAJOR CHALLENGES IN CARING FOR CRITICALLY ILL PATIENTS. OUR GOAL WAS TO CHARACTERIZE INTERRUPTIONS IN ENTERAL NUTRITION (EN) DELIVERY AND THEIR IMPACT ON CALORIC DEBT IN THE SURGICAL INTENSIVE CARE UNIT (ICU). MATERIALS AND METHODS: We performed a prospective, observational study of adults admitted to ...
Petros Sirak S Medical Intensive Care Unit, University Hospital Leipzig, Leipzig, - - 2014
Background: Optimal nutrition of critically ill patients is still a matter of debate. This pilot trial aimed to compare the impact of normocaloric vs hypocaloric feeding in critically ill patients in the first 7 days in the intensive care unit (ICU). The primary end point was the rate of nosocomial ...
Sabatier Caroline C Service de Réanimation, Centre Hospitalier de Mont-de-Marsan, France. Electronic address: - - 2014
To evaluate the clinical usefulness and safety of the differential-time-to-positivity (DTP) method for managing the suspicion of catheter-related bloodstream infection (CR-BSI) in comparison with a standard method that includes catheter removal in critically ill patients. A prospective randomized study was carried out. Setting: A 16-bed clinical-surgical ICU (July 2007-February 2009). ...
Van de Moortel Lot L Department of Clinical Chemistry, Ghent University Hospital, Gent, - - 2014
To investigate the prognostic significance of low serum creatine kinase (CK) activity in intensive care unit patients. The study population consisted of 1899 patients, divided in a "normal" (CK > 20 U/L) and "low" CK group (CK ≤ 20 U/L). The latter group was divided into 2 subgroups by duration ...
Kim Tae Hyung TH Department of Internal Medicine, Korea University College of Medicine, Seoul, - - 2014
Chronic liver disease is a common comorbidity in surgery. To assess postoperative morbidity and mortality in relation to progression of chronic liver disease and to identify the risk factors. 609 consecutive patients with chronic liver disease who underwent surgery were classified into 2 groups: non-cirrhotic (n = 363) and cirrhotic ...
Irkoren Saime S Saime Irkoren, MD, and Nazan Sivrioglu, MD, are both Assistant Professors, Plastic and Reconstructive Surgery Department, Medical Faculty, Adnan Menderes University, Aydin, - - 2014
The aim of this study was to evaluate the efficacy of hydrosurgery prepared with or without hydrogen peroxide for the management of subacute and chronic wounds. This is a retrospective study on patients with infected subacute and chronic wounds. The wounds were debrided using hydrosurgery prepared with (the study group) ...
Zhang H Z HZ Department of Neurosurgery, Clinical Medical College Yangzhou University, Yangzhou, Jiangsu Province, China - - - 2014
Aim: The novel YL-1 hollow needle aspiration drainage system is an effective minimally invasive treatment in chronic subdural hematoma (CSDH). In order to find the risk prognosis factors of chronic subdural hematoma (CSDH) performed by the novel YL-1 hollow needle aspiration drainage system, a logistic analysis of postoperative results was ...
Rose Jessica F JF Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, College of Medicine, University of Arizona, Tucson, Ariz. Electronic address: - - 2014
The application of split-thickness skin grafts (STSGs) to chronic extremity wounds has often been considered undesirable because of the perceived high incidence of failure, especially in neuropathic patients with plantar diabetic foot wounds. The purpose of this study was to evaluate the outcomes of STSG placement in patients with chronic ...
Cohen A T AT King's College Hospital, London, - - 2014
D-dimer concentrations have not been evaluated extensively as a predictor of increased venous thromboembolism (VTE) risk in acutely ill, hospitalized medical patients. To analyze the relationships between D-dimer concentration, VTE, and bleeding in the MAGELLAN trial (NCT00571649). Multicenter, randomized, controlled trial. Patients aged ≥40 years, hospitalized for acute medical illnesses ...
Pappalardo Federico F Department of Anesthesia and Intensive Care. Electronic address: - - 2014
Anticoagulation with unfractionated heparin (UFH) in critically ill cardiac surgery patients has several limitations, including the risk of heparin-induced thrombocytopenia. The use of a direct thrombin inhibitor, such as bivalirudin, might either treat this complication or completely eliminate it. The aim of the present study was to analyze the use ...
Chatzimavroudis G G 2nd Department of Surgery, "G. Gennimatas" General Hospital, School of Medicine, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece, - - 2014
Chronic postoperative pain is probably the most significant complication of tension-free inguinal hernia repair as its presence can considerably affect the life quality of the patient. Different mesh materials and different surgical techniques for mesh fixation have been applied to reduce chronic postoperative pain, with controversial, nevertheless, results. The aim ...
Personett Heather A HA Mayo Clinic-Rochester Methodist Hospital, Rochester, MN, - - 2014
Little guidance exists on effective management of postoperative atrial fibrillation (POAF) following noncardiac, nonthoracic (NCNT) surgery. The purpose of this study was to identify whether a difference exists between intravenous (IV) metoprolol and diltiazem when used to achieve hemodynamically stable rate control in POAF following NCNT surgery. This retrospective cohort ...
Mikhailov Theresa A TA Pediatric Critical Care, Medical College of Wisconsin, Milwaukee, - - 2014
Background: The purpose of this study was to examine the association of early enteral nutrition (EEN), defined as the provision of 25% of goal calories enterally over the first 48 hours of admission, with mortality and morbidity in critically ill children. Methods: We conducted a multicenter retrospective study of patients ...
Han George G - - 2014
The care of chronic wounds represents an important and evolving area of dermatology. With a rising prevalence of chronic wounds bearing notable effects on patient morbidity including amputations, appropriate and effective intervention to treat these debilitating wounds can make a significant clinical impact. In recent years, several advanced bioactive wound ...
GrigoraƟ I - - 2014
Background: Leptin (LPT), a hormone secreted by adipocytes,plays a role in inflammation and infection. Our study aimed tocharacterize the early dynamics of LPT in comparison withCRP and IL-6 during systemic inflammatory response syndrome(SIRS) and sepsis in surgical patients.Methods: Sixty patients were assigned into 3 equal groups:SIRS (SI) group with major ...
Takebayashi Akie A Department of Obstetrics and Gynecology, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga, - - 2014
To evaluate the association between endometriosis and chronic endometritis. Endometrial specimens were obtained from 71 patients, 34 with endometriosis (endometriosis group) and 37 without endometriosis (non-endometriosis group), who underwent hysterectomy, and the specimens were immunostained for the plasmacyte marker CD138. The rate of chronic endometritis was compared between the endometriosis ...
Huang Huibin H Department of Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, - - 2014
To compare important outcomes between early tracheostomy (ET) and late tracheostomy (LT) or prolonged intubation (PI) for critically ill patients receiving long-term ventilation during their treatment. We performed computerized searches for relevant articles on PubMed, EMBASE, and the Cochrane register of controlled trials (up to July 2013). We contacted international ...
Edmunds Christina E CE 1Food and Nutrition Services Department, Fraser Health Authority, Burnaby, BC, Canada. 2Department of Nutritional Sciences, School of Health Related Professions, Rutgers, The State University of New Jersey, Newark, NJ. 3Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON, Canada. 4Department of Medicine, Queen's University, Kingston, ON, - - 2013
To examine the effects of different IV fat emulsions on clinical outcomes in critically ill patients. Secondary analysis of data from a prospective multicenter study. An international sample of ICUs. Adult patients who were admitted to the ICU for more than 72 hours, were mechanically ventilated within 48 hours, received ...
Zhang K - - 2013
The present study was undertaken to evaluate the long-term health-related quality of life (HRQOL) as well as the employment status in survivors of severe sepsis up to 6 years afterwards. From January 2003 to December 2008 a total of 112 severe sepsis and 112 age, gender and Charlson comorbidity index-matched ...
Takagi Toshio - - 2013
We compared kidney functional recovery between patients with pre-existing chronic kidney disease, those with de novo chronic kidney disease and those with normal kidney function, after partial nephrectomy. A total of 311 patients who underwent partial nephrectomy at Tokyo Women's Medical University Hospital, Tokyo, Japan, between January 2004 and July ...
Cabrini L L Department of Anesthesia and Intensive Care, San Raffaele Scientific Institute, Milan, - - 2014
Single dilator technique (SDT) and guide wire dilating forceps (GWDF) are the two most commonly used techniques of percutaneous dilatational tracheostomy (PDT) in critically ill adult patients. We performed a meta-analysis of randomised, controlled trials comparing intraoperative, mid-term and late complications of these two techniques. Pertinent studies were searched in ...
Vanwijngaerden Yoo-Mee - - 2013
Cholestatic liver dysfunction (CLD) and biliary sludge often occur during critical illness and are allegedly aggravated by parenteral nutrition (PN). Delaying initiation of PN beyond day 7 in ICU (late-PN) accelerated recovery as compared with early initiation of PN (early-PN). However, the impact of nutritional strategy on biliary sludge and ...
Shim Hong Jin - - 2013
Fluid balance remains a highly controversial topic in the critical care field, and no consensus has been reached about the fluid levels required by critically ill surgical patients. In this study, we investigated the relationship between fluid balance and in-hospital mortality in critically ill surgical patients. The medical records of ...
Simorov Anton - - 2013
Morbidity and mortality are very high for critically ill patients who develop acute acalculous cholecystitis (AAC). The aim of this study was to compare outcomes in extremely ill patients with AAC treated with percutaneous cholecystostomy (PC), laparoscopic cholecystectomy (LC), or open cholecystectomy (OC), which were also analyzed together in the ...
Gravante G - - 2013
Bed debridement is important to treat chronic wounds. Effective agents should remove the necrosis but protect the granulation tissue. We evaluated the performance and tolerability of a new composite ointment containing collagenase and hyaluronic acid for chronic venous ulcers. Subjects with class 6 venous ulcers (CEAP classification) of at least ...
Walsh Timothy S TS 1Department of Critical Care and Centre for Inflammation Research, Edinburgh University, Little France Crescent, Edinburgh, Scotland. 2Edinburgh Clinical Trials Unit, Western General Hospital, Edinburgh, Scotland. 3Better Blood Transfusion, National Blood Transfusion Service, Gartnavel, Glasgow, Scotland. 4Centre for Population Health Sciences, Edinburgh University, Edinburgh, Scotland. 5Barts and The London School of Medicine & Dentistry, Queen Marys University of London, London, UK. 6Department of Anaesthesia and Intensive Care, Western General Hospital, Crewe Toll, Edinburgh, Scotland. 7Department of Anaesthetics, Stirling Royal Infirmary, Stirling, Scotland. 8Department of Anaesthesia and Critical Care, Ninewells Hospital & Medical School, Dundee, Scotland. 9Guy's & St Thomas' NHS Foundation Trust, London, - - 2013
To compare hemoglobin concentration (Hb), RBC use, and patient outcomes when restrictive or liberal blood transfusion strategies are used to treat anemic (Hb≤90 g/L) critically ill patients of age≥55 years requiring≥4 days of mechanical ventilation in ICU. Parallel-group randomized multicenter pilot trial. Six ICUs in the United Kingdom participated between ...
Kudoh Y Y Kidney Center, Sapporo South One Hospital, Sapporo, - - 2013
The effects of L-carnitine on the hemodynamic state of chronic hemodialysis patients have been debated. In order to clarify the effect of administered L-carnitine on cardiac function and hypotensive episodes during the hemodialysis procedure, a randomized double-blind placebo-controlled study was performed for 3 months. TWENTY STABLE OUTPATIENTS UNDERGOING HEMODIALYSIS TREATMENT ...
De Jong Audrey - - 2013
Airway management in intensive care unit (ICU) patients is challenging. The main objective of this study was to compare the incidence of difficult laryngoscopy and/or difficult intubation between a combo videolaryngoscope and the standard Macintosh laryngoscope in critically ill patients. In the context of the implementation of a quality-improvement process ...
Deel Michael D - - 2013
Recent studies reviewing immune mechanisms of immune thrombocytopenia (ITP) have suggested acute and chronic forms may represent distinct immunopathological disorders. This study evaluated absolute lymphocyte counts (ALCs) as predictors for ITP outcomes. CBCs with differential counts were ascertained at presentation, 3, 6, and 12 months for 204 patients. Receiver operating ...
Couto Cristobal - - 2013
Abstract Methods: Case description of a 34 year old woman with chronic granulomatous anterior uveitis following implantation of a phakic anterior chamber intraocular lens (IOL). Aqueous humor was processed for bacterial, fungal culture, and PCR analysis. Results: PCR for 16S ribosomal RNA universal primers was positive and Southern-blot for Propionibacterium ...
Garg Ravindra Kumar - - 2013
This study was aimed to determine the prognostic factors in medically treated patients of spinal tuberculosis. In this longitudinal observational study, from July 2010 to December 2011, 70 consecutive patients (40 males and 30 females) spinal tuberculosis were enrolled. Diagnosis of spinal tuberculosis was based on characteristic clinical and neuroimaging ...
Chuah Sai Wei - - 2013
Introduction: Parenteral nutrition (PN) is an important supportive therapy. However, it is expensive and associated with significant complications. Our aim is to describe the patients given PN in 2006, to compare with the 2001 cohort and determine if PN had been prescribed for the appropriate indications. Materials and Methods: A ...
Yu Tao - - 2013
We studied the effects of propofol or dexmedetomidine on preload dependency and fluid responsiveness in critically ill patients. In the study, we included 91 patients with acute circulatory failure (70 ± 15 y) who received propofol (n = 45 patients, PROP group) or dexmedetomidine (n = 46 patients, DEX group). An ...
Sharkawi M - - 2013
Chronic mesenteric angina is a rare condition with high morbidity and mortality, which occurs due to stenosis or occlusion in the mesenteric vessels commonly due to atherosclerosis. Typically, patients present with worsening postprandial abdominal pain, chronic weight loss and fear of food. The condition can be treated by surgical bypass, ...
Huddle N - - 2013
Understanding longer term outcomes in critically ill patients will assist treatment decisions, allocation of scarce resources and clinical research in that population. The aim of this study was to compare a well-validated means of determining comorbidity, the Charlson Comorbidity Score, to other verified risk stratification models in predicting one-year mortality ...
Han Seung Seok - - 2013
The addition of relevant parameters to acute kidney injury (AKI) criteria might allow better prediction of patient mortality than AKI criteria alone. Here, we evaluated whether inclusion of AKI duration could address this issue. AKI was defined according to the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines in 2,143 critically ...
Eifinger F - - 2013
Long-term intravenous sedation may present problems due to dependence and side effects. Medical records of children who were administered isoflurane were reviewed. 15 patients (9 boys, 6 girls) with a mean age of 11.8 month (+2.4) were analysed.Analgesia and sedation was given in mean 9.7+1.1 days before commencing inhalation using ...
Joannes-Boyau Olivier - - 2013
PURPOSE: Septic shock is a leading cause of death among critically ill patients, in particular when complicated by acute kidney injury (AKI). Small experimental and human clinical studies have suggested that high-volume haemofiltration (HVHF) may improve haemodynamic profile and mortality. We sought to determine the impact of HVHF on 28-day ...
Alijanipour Pouya - - 2013
BACKGROUND: Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) have recently been suggested as diagnostic criteria for periprosthetic joint infection (PJI) diagnosis. Thresholds for these markers should be reexamined since they have been determined arbitrarily. QUESTIONS/PURPOSES: Based on recently defined criteria for PJI, we determined (1) whether there is a ...
Huang Xuan - - 2013
Objective: To evaluate the clinical efficacy of levosimendan versus dobutamine in critically ill patients requiring inotropic support. Methods: Clinical trials were searched in PubMed, EMBASE, and the Cochrane Central Registry of Clinical Trials, as well as Web of Science. Studies were included if they compared levosimendan with dobutamine in critically ...
Heyland Daren - - 2013
Critically ill patients have considerable oxidative stress. Glutamine and antioxidant supplementation may offer therapeutic benefit, although current data are conflicting. In this blinded 2-by-2 factorial trial, we randomly assigned 1223 critically ill adults in 40 intensive care units (ICUs) in Canada, the United States, and Europe who had multiorgan failure ...
Porhomayon Jahan - - 2013
INTRODUCTION: Sedation and pain management for mechanically ventilated critically ill surgical patients pose many challenges for the intensivist. Even though daily interruption of sedatives and opioids is appropriate in medical intensive care unit (ICU) patients, it may not be feasible in the surgical patients with pain from surgical incision or ...
Wang Mingjun - - 2013
The purpose of this study was to investigate the long-term effects of laparoscopic splenectomy (LS) for patients with chronic immune thrombocytopenia (ITP), and to identify predictive factors for promising hematological outcomes. We retrospectively analyzed the clinical records and follow-up data in patients who underwent LS for chronic ITP from November ...
Mohammadi Ali Akbar - - 2013
BACKGROUND: Severe burns are associated with dramatic outcomes which are potentially detrimental. Nowadays the standard treatment for deep partial thickness and full-thickness burn is early excision and grafting, which is not always feasible this leads to chronicity and microbial colonization of burn wounds. Interesting properties of hydrogen peroxide 2% soaked ...
Cheng Junzhang - - 2013
The differences in therapeutic effectiveness between sustained low-efficiency dialysis (SLED) and continuous blood purification (CBP) were investigated. In order to assess the different treatment methods, 56 critically ill patients were divided into two groups, the CBP group and the SLED group. A comparison was made between all the biochemical indicators, ...
Chen J-Jy - - 2013
Cavum septum pellucidum (CSP) and cavum Vergae (CV) are unusual variants and usually asymptomatic, but their expansion or inside lesions can produce symptoms by mass effect. A 46-year-old female Taiwanese worker presented with chronic daily headaches for eight years. Magnetic resonance imaging revealed coexistent CSP and CV. She declined surgical ...
Cohen Alexander T - - 2013
The clinically appropriate duration of thromboprophylaxis in hospitalized patients with acute medical illnesses is unknown. In this multicenter, randomized, double-blind trial, we evaluated the efficacy and safety of oral rivaroxaban administered for an extended period, as compared with subcutaneous enoxaparin administered for a standard period, followed by placebo. We randomly ...
Dumonteil Nicolas - - 2013
Only limited and conflicting data on the impact of preoperative chronic kidney disease (CKD) on outcomes after transcatheter aortic valve implantation (TAVI) are available. We retrospectively analyzed pooled data from the prospective TAVI databases of 4 centers (942 patients). Valve Academic Research Consortium end point definitions were used. The outcomes ...
Milstone Aaron M - - 2013
Bacteraemia is an important cause of morbidity and mortality in critically ill children. Our objective was to assess whether daily bathing in chlorhexidine gluconate (CHG) compared with standard bathing practices would reduce bacteraemia in critically ill children. In an unmasked, cluster-randomised, two-period crossover trial, ten paediatric intensive-care units at five ...
1 2 3 4 5 6 7 8 9 10 >