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An expert consensus (STARDaki) extends STARD to improve reporting of diagnostic test accuracy studies for acute kidney injury (AKI), specifying patient selection, reference standards, timing, assay details and test-retest reliability.
A single-center study found that 14% of ICU shifts involve aggression or violence against nurses, with recurrence predicted by longer stay and initial aggressive or verbally violent incidents.
A new organ failure score, A-TANGO, improves ACLF diagnosis and risk stratification compared to standard CLIF-C criteria, validated in large international cohorts.
Persistent tissue hypoperfusion alongside vasopressor dosing improves early risk stratification in refractory septic shock, identifying patients with markedly increased 28-day mortality beyond vasopressor dose alone, as shown in a secondary
Combining abdominal electrical stimulation with airway clearance improves cough strength, muscle thickness, and decannulation rates in tracheostomized patients with neurologic disorders, without impacting infection or diaphragm mobility.
This report highlights the increased risk of health insurance instability in survivors of firearm injury, emphasizing the challenges to continuous care and financial burden post-injury.
This study examines the duration of end-tidal CO2 monitoring needed to distinguish return of spontaneous circulation (ROSC) during out-of-hospital cardiac arrest resuscitation, finding 7 to 21 minutes depending on witness status and initial
This study examines whether high-flow nasal cannula oxygen during breaks from noninvasive ventilation post-extubation reduces extubation failure compared to standard oxygen therapy in high-risk patients.
Early administration of Shenfu injection in septic ICU patients did not reduce vasopressor use but was associated with lower mortality and improved microcirculation, warranting further validation.
Prolonged endotracheal intubation induces progressive tracheal histopathological changes, with increased injury markers beyond 14 days, supporting early tracheotomy to mitigate complications.
The APS Consortium establishes a large, prospective cohort of critically ill adults with ARDS, pneumonia, and sepsis to enable biologically based phenotyping, leveraging rich clinical data and biospecimens for improved understanding and the
A large Indian ICU registry study reveals no significant difference in mortality between sexes despite females receiving less invasive organ support in critical care.
RCT evidence shows that restrictive low-use versus liberal high-use physical restraint strategies in mechanically ventilated ICU patients do not differ in days alive without delirium or coma at 14 days.
High-volume trauma centers independently achieve faster surgical intervention and better outcomes in blunt intestinal injuries, highlighting the critical role of clinical experience and hospital resources in managing these rare injuries.
A national cohort study found that adoption of the Resuscitation Quality Improvement (RQI) program for CPR training did not improve survival to discharge or return of spontaneous circulation in patients experiencing in-hospital cardiac arre
A pragmatic RCT in an Australian ICU found the ABCDEF bundle did not reduce delirium incidence or duration but improved patients’ ability to perform usual activities at 90 days post-discharge, suggesting possible long-term quality of
In hypertensive high-risk patients undergoing major abdominal surgery, targeting an intraoperative mean arterial pressure ≥80 mmHg reduces postoperative organ dysfunction and acute kidney injury compared to the standard target of ≥65 mmHg.
A novel artificial intelligence algorithm enables continuous, noninvasive monitoring of inspiratory muscle effort and patient-ventilator dyssynchrony during mechanical ventilation, demonstrating accuracy comparable to invasive gold standard
The HLH-Risk-Calculator utilizes machine learning to predict initial disease severity and mortality at multiple time points in adult patients with secondary hemophagocytic lymphohistiocytosis, highlighting key biomarkers and advocating for
Unsupervised clustering of echocardiographic and hemodynamic data in sepsis reveals four distinct cardiovascular subphenotypes, each with unique mortality risks and responses to treatment, enabling personalized shock management strategies.
