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Results 651 - 700 of 1682
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Ferrer Ricard - - 2009
RATIONALE: Several Surviving Sepsis Campaign Guidelines recommendations are reevaluated. OBJECTIVES: To analyze the effectiveness of treatments recommended in the sepsis guidelines. METHODS: In a prospective observational study, we studied all adult patients with severe sepsis from 77 intensive care units. We recorded compliance with four therapeutic goals (central venous pressure ...
Girdauskas Evaldas - - 2010
Acute respiratory dysfunction (ARD) can occur after acute type A aortic dissection, but relatively little is known about ARD in such patients. This study aims to analyse the clinical impact of ARD after surgery for acute type A aortic dissection and to assess possible treatment options. We reviewed our institutional ...
Zafar S N - - 2010
We measured the recall error, optimal recall length and factors associated with diarrhoea in a weekly survey. Data was taken from a year-long randomized controlled trial in which characteristics of diarrhoeal episodes were recorded weekly. We labelled the recall period as days 1-6; day 1 being the day before the ...
Walsh Timothy S TS Anaesthetics, Critical Care and Pain Medicine, Edinburgh Royal Infirmary, and Orthopaedic Surgery, University of Edinburgh, Little France Crescent, Edinburgh, Scotland. - - 2009
Despite evidence supporting the use of restrictive hemoglobin (Hb) transfusion triggers in critically ill patients, translation of this evidence into practice remains inconsistent. It was hypothesized that clinicians believe that longer-term ventilated patients require a higher Hb, particularly when ischemic heart disease coexists. A scenario was developed describing an anemic ...
Perkins Jonathan A - - 2009
OBJECTIVE: The purpose of this study was to evaluate changes in airway infantile hemangioma treatment. STUDY DESIGN: Retrospective. SUBJECTS: Airway hemangioma patients, tertiary pediatric hospital. METHODS: Data collected included age at diagnosis, evaluation methods, hospitalizations, airway size, and interventions. Patients were divided into group A (1981-1993) and group B (1994-2005) ...
Ng B S W - - 2009
The LMA CTrach (CTrach) enables ventilation, glottis visualisation and tracheal intubation via a laryngeal mask conduit. The CTrach has been successfully used in patients with cervical spine pathology, but it is unclear if cervical spine immobilisation affects its ease of use. In this randomised crossover trial, the CTrach was used ...
Riansuwan Woramin - - 2009
PURPOSE: A Hartmann's procedure is performed in perforated diverticulitis, but in some patients the colostomy is never closed. Identification of patients at risk for Hartmann's nonreversal would be helpful to determine the extent of resection. The aim of this study was to quantify the risk of nonclosure by deriving a ...
Lim Young Wook - - 2009
The purpose of this study was to determine the mortality rate and factors related to mortality in elderly patients with acute and monotraumatic femoral neck fractures. This study included 241 patients with femoral neck fractures after bipolar hemiarthroplasty. We analyzed the mortality rate and the relationship between postoperative mortality and ...
Preiser Jean-Charles - - 2009
PURPOSE: An optimal target for glucose control in ICU patients remains unclear. This prospective randomized controlled trial compared the effects on ICU mortality of intensive insulin therapy (IIT) with an intermediate glucose control. METHODS: Adult patients admitted to the 21 participating medico-surgical ICUs were randomized to group 1 (target BG ...
Schroeppel Thomas J - - 2009
BACKGROUND: The concept of increased medical errors in July, secondary to new residents (the "July phenomenon"), often receives considerable attention without supporting evidence. A recent study reported a 41% increase in mortality during July and August in general surgery patients. The objective of this study was to determine if a ...
Jeyarajah S - - 2009
BACKGROUND: Diverticular disease has a changing disease pattern with limited epidemiological data. AIM: To describe diverticular disease admission rates and associated outcomes through national population study. METHODS: Data were obtained from the English 'Hospital Episode Statistics' database between 1996 and 2006. Primary outcomes examined were 30-day overall and 1-year mortality, ...
Trouillet Jean-Louis - - 2009
OBJECTIVE: Prolonged mechanical ventilation after cardiac surgery is a serious complication that warrants search for new treatment strategies. Our objective was to identify patients still requiring mechanical ventilation 3 days after the operation and those successfully weaned by day 10 to avoid needless and potentially hazardous interventions, such as tracheostomy. ...
Samransamruajkit Rujipat - - 2010
PURPOSE: Ventilator-associated pneumonia (VAP) is associated with significant morbidity and mortality in pediatric intensive care unit (PICU). Our purpose was to evaluate the effects of ventilator circuit change on the rate of VAP in the PICU. METHODS: A prospective randomized controlled trial was conducted at a university hospital PICU. Children ...
Barry Heather - - 2009
Greater group identification and higher levels of procedural justice typically work together to encourage group members to engage in group-serving cooperative behavior. However, when people who already identify with a group receive information indicating that the group is procedurally unjust, their motivation to engage in group-serving behavior may increase. This ...
Thai Sopheak - - 2009
OBJECTIVES: To evaluate a 5-year HIV care programme (2003-2007) in the Sihanouk Hospital Center of HOPE, Phnom Penh, Cambodia. METHODS: Analysis of routine programme indicators per year: number of new patients, active patients, antiretroviral therapy (ART) coverage in the cohort, mortality and loss to follow-up. Comparison of mortality before and ...
Cholongitas Evangelos - - 2009
BACKGROUND: The exact role of renal dysfunction in critically ill cirrhotics admitted to an intensive care unit (ICU) has not been assessed extensively. AIM: To evaluate the impact of acute renal failure (ARF) on 6 weeks mortality in cirrhotics admitted to ICU. PATIENTS/METHODS: Three hundred and twelve cirrhotics (182 male, ...
Dursun Oguz - - 2009
Higher mortality and morbidity are well established in children with malignancies in whom intensive care admissions are required. A retrospective cohort study was conducted to assess the risk factors for children with cancer in the pediatric intensive care unit (PICU) for short-term outcome (survival vs. nonsurvival when leaving the PICU). ...
Zaydfudim Victor - - 2009
BACKGROUND: Ventilator-associated pneumonia (VAP) causes significant morbidity and mortality in critically ill surgical patients. Recent studies suggest that the success of preventive measures is dependent on compliance with ventilator bundle parameters. HYPOTHESIS: Implementation of an electronic dashboard will improve compliance with the bundle parameters and reduce rates of VAP in ...
Camp Sara L - - 2009
BACKGROUND: Early tracheal extubation is a common goal after cardiac surgery and may improve postoperative outcomes. Our study evaluates the impact of a quality improvement program (QIP) on early extubation, pulmonary complications, and resource utilization after cardiac surgery. METHODS: Between 2002 and 2006, 980 patients underwent early tracheal extubation (<6 ...
Farese Stefan - - 2009
Intermittent and continuous renal replacement therapies (RRTs) are available for the treatment of acute renal failure (ARF) in the intensive care unit (ICU). Although at present there are no adequately powered survival studies, available data suggest that both methods are equal with respect to patient outcome. Therefore, cost comparison between ...
Butt Zubair M - - 2009
OBJECTIVE: To evaluate the effect of preoperative risk factors on perioperative outcomes up to 3 months after robot-assisted radical cystectomy (RARC), as RC continues to be associated with a high rate of morbidity and mortality. PATIENTS AND METHODS: From 2005 to 2007, 66 consecutive patients had RARC at Roswell Park ...
Neff Lucas P - - 2010
INTRODUCTION: This study examines the physiologic effects of theraputic plasma exchange (TPE) in the setting of refractory burn shock and attempts to identify variables that correlate with the eventual need for TPE. METHODS: A retrospective analysis was conducted of 40 patients over 24 months with >20% TBSA burns who experienced ...
Mollica Corrado - - 2010
Acute respiratory failure (ARF) occurring during idiopathic pulmonary fibrosis (IPF) is associated with a poor prognosis. In this subset of individuals, mechanical ventilation (MV) may be required. We analysed the characteristics of a group of IPF patients undergoing MV for ARF in order to give some indications on the supposed ...
Schabinski Franziska - - 2009
PURPOSE: To compare the effects of predominantly hydroxyethyl starch (HES 6% 130/0.4)-based with predominantly gelatin 4%-based fluid therapy on renal function in surgical intensive care unit (ICU) patients. METHODS: Before-after, retrospective, study of surgical ICU patients. All patients admitted from January to June 2005 formed the HES group, with HES ...
Cruz Dinna N DN Department of Nephrology, Dialysis, and Transplantation, St Bortolo Hospital and International Renal Research Institute Vicenza, 36100 Vicenza, - - 2009
Polymyxin B fiber column is a medical device designed to reduce blood endotoxin levels in sepsis. Gram-negative-induced abdominal sepsis is likely associated with high circulating endotoxin. Reducing circulating endotoxin levels with polymyxin B hemoperfusion could potentially improve patient clinical outcomes. To determine whether polymyxin B hemoperfusion added to conventional medical ...
Fry Norman K - - 2009
As part of an enhanced surveillance programme for pertussis in England and Wales, a real-time PCR service for the detection of Bordetella pertussis was introduced for infants aged <or=6 months admitted to a paediatric intensive care unit or paediatric ward with a respiratory illness compatible with pertussis. Two real-time fluorescent ...
Afessa Bekele - - 2009
No previous study has evaluated the association between admission to ICUs during round time and patient outcome. The objective of this study was to determine the association between round-time ICU admission and patient outcome. This retrospective study included 49,844 patients admitted from October 1994 to December 2007 to four ICUs ...
Louriz M - - 2009
BACKGROUND: In Morocco, acute aluminum phosphide poisoning (AAlPP) is a serious health care problem. It results in high mortality rate despite the progress of critical care. AIMS: The present paper aims at determining the characteristics of AAlPP and evaluating its severity factors. SETTING AND DESIGN: We studied consecutive patients of ...
Huang Yu-Lan - - 2009
BACKGROUND: Sonography is used to diagnose infantile hypertrophic pyloric stenosis, but Little information is available about the appearance of postoperative sonographs. The purpose of this study was to evaluate the morphology of the pylorus in association with an obstruction before and after pyloromyotomy. METHODS: Pyloric length, diameter, muscle thickness and ...
Chen Yu-Chih - - 2009
BACKGROUND: Almost 80% of patients in the intensive care unit are intubated and on mechanical ventilation. Thus, their airway clearance ability is compromised and their risk of lung collapse increased. A variety of interventions are used to enhance airway clearance with the goal of preventing atelectasis and infection. The purpose ...
Broessner Gregor - - 2009
OBJECTIVE: To analyze the influence of red blood cell (RBC) transfusions on mortality and outcome of patients with spontaneous subarachnoid hemorrhage (SAH) and to determine predictors of unfavorable neurologic long-term outcome in this patient population. DESIGN: Cohort study with post-intensive care unit (ICU) prospective evaluation of functional long-term outcome. SETTING: ...
Schneider Christian P - - 2009
The importance of postoperative procalcitonin (PCT) measurements for outcome prediction is currently controversial. Conflicting results have been obtained for patients after polytrauma, sepsis, peritonitis, or cardiac surgery and may result from incomplete adjustment for important confounders or from nonlinear PCT effects. We retrospectively analyzed the association of PCT concentration with ...
Carpentier A - - 2009
Mortality of eels Anguilla anguilla in a large shallow lake in France due to predation by the cormorant Phalacrocorax carbo was found to be moderate when compared to fishery catches over a 9 year period. The results show that, contrary to previous extrapolations made at the pan-European scale, P. carbo ...
Augusto Gustavo A - - 2009
INTRODUCTION: Continuous glucose monitoring system is a valuable instrument to measure glycemic control, which uses a retrospective calibration based upon 3 to 4 capillary glucose meter values inserted by the patient each day. OBJECTIVE: We evaluated the interference of calibration during the dawn period in the system accuracy. METHODS: The ...
Kenning Tyler J - - 2009
OBJECT: Hinge craniotomy (HC) has recently been described as an alternative to decompressive craniectomy (DC). Although HC may obviate the need for cranial reconstruction, an analysis comparing HC to DC has not yet been published. METHODS: A retrospective review was conducted of 50 patients who underwent cranial decompression (20 with ...
Iannone P - - 2009
BACKGROUND: The clinical efficacy of multipurpose observation units has not been assessed in comparative studies. A study was undertaken to analyse the effects of the adoption of clear criteria of admission, clinical pathways and time limits together with the strengthening of clinical supervision and dedicated staff on the performance of ...
Mahdy Saad S Department of Anaesthesia and Intensive Care Medicine, St Vincent's University Hospital, Dublin 4, - - 2009
Anemia is a common problem in the ICU population. Most patients are anemic at admission, their hemoglobin concentrations declining further thereafter. The aim of the present study was to evaluate the effect of a combination strategy, involving closed arterial blood gas sampling and the use of pediatric vials for phlebotomy ...
Pobo Angel A Critical Care Department, Joan XXIII University Hospital, 43007 Tarragona, - - 2009
Poor oral hygiene is associated with respiratory pathogen colonization and secondary lung infection. The impact of adding electric toothbrushing to oral care in order to reduce ventilator-associated pneumonia (VAP) incidence is unknown. The study design was a prospective, simple-blind, randomized trial of adult patients intubated for > 48 h. Controlling ...
Chakrabarti B - - 2009
Hyperglycaemia predicts a poor outcome in Intensive Care Unit (ICU) patients. Whether this is true for respiratory failure necessitating non-invasive ventilation (NIV) is not known. To determine whether hyperglycaemia within 24 h of admission independently predicts outcome of NIV during acute decompensated ventilatory failure complicating chronic obstructive pulmonary disease (COPD) ...
Schweickert William D - - 2009
Long-term complications of critical illness include intensive care unit (ICU)-acquired weakness and neuropsychiatric disease. Immobilisation secondary to sedation might potentiate these problems. We assessed the efficacy of combining daily interruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation in intensive care. Sedated adults ...
Chan Linda Y Y - - 2010
BACKGROUND: An accurate predictor of successful decannulation in neurosurgical patients that indicates the best time for tracheotomy decannulation would minimize the risks of continued cannulation and unsuccessful decannulation. OBJECTIVE: To determine whether the peak flow rate during induced cough is an appropriate predictor of successful decannulation. METHODS: A total of ...
Hung Ha Tran - - 2009
In northern Vietnam, Bungarus multicinctus is the only krait of medical importance. We report 60 consecutive patients admitted to an ICU in Hanoi during 2000-2003 because of envenoming by B. multicinctus. Their mean age was 33 years (range 12-67), 77% were male. The majority were agricultural workers, 69% of the ...
Konecná M - - 2009
A 15 year data set revealed that the abundance of 0+ year Rhodeus amarus in a regulated river was negatively associated with mean river discharge, while mean standard length was positively related to the cumulative number of degree-days > or =10 degrees C. Results are discussed in the context of ...
Southwood L L - - 2009
REASONS FOR PERFORMING STUDY: Obtaining data on emergency admission survival rates is important to provide clients with an estimate of prognosis and to identify areas in which improvements in case management can be achieved. OBJECTIVE: To determine the short-term outcome of equine emergency admissions to a university referral hospital during ...
Ayçiçek Ali - - 2009
Unusual presentations are not rare in subacute sclerosing panencephalitis. Five patients initially diagnosed with pseudotumor cerebri were ultimately determined to have pseudotumor cerebri secondary to subacute sclerosing panencephalitis. The present study retrospectively reviewed 56 cases history, neurologic symptoms, and clinical and laboratory data, as well as the outcomes. On admission, ...
Panchabhai Tanmay S - - 2009
BACKGROUND: Oral cleansing with chlorhexidine decreases the incidence of nosocomial pneumonia in patients after cardiac surgery. However, evidence of its benefit in ICU patients is conflicting. METHODS: Patients admitted to the ICU of an Indian tertiary care teaching hospital were randomized to twice-daily oropharyngeal cleansing with 0.2% chlorhexidine or 0.01% ...
Jones Alan E AE Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC, USA. - - 2009
Organ failure worsens outcome in sepsis. The Sequential Organ Failure Assessment (SOFA) score numerically quantifies the number and severity of failed organs. We examined the utility of the SOFA score for assessing outcome of patients with severe sepsis with evidence of hypoperfusion at the time of emergency department (ED) presentation. ...
Hazekamp Mark G - - 2009
OBJECTIVE: To analyze the results of pediatric tracheal reconstruction with autologous pericardial patch and strips of cartilage. METHODS: From September 2003 to February 2008 14 non-consecutive children were operated using pericardial patch augmentation of the trachea combined with external reinforcement with strips of autologous cartilage. Thin semicircular strips were fashioned ...
Rózsa C - - 2009
BACKGROUND AND PURPOSE: We studied the long-term crisis-preventing effect of combined prednisolone-azathioprine (PR-AZA) treatment in myasthenia gravis (MG). METHODS: Case-control study with a median follow-up of 64 months in the treated group, and 80 months in the non-treated group. Sixty-nine patients with episodes of myasthenic crisis (MC) were treated and ...
Chen Hao - - 2009
BACKGROUND: Tradition treatment of sepsis and new therapies, including high dose corticosteroids and non-steroidal anti-inflammatory drugs, have proven unsuccessful in improving survival. This study aimed to evaluate the potential efficacy of immunomodulating therapy using Ulinastatin (UTI) plus Thymosin alpha1 (Talpha1) for improving organ function and reducing mortality in patients with ...
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