Abstract:
PURPOSE OF REVIEW:The comparison of morbidity, mortality, and length-of-stay outcomes in patients receiving critical care requires adjustment based on their presenting illness. These adjustments are made with severity-of-illness models. These models must be periodically updated to reflect current medical practices. This article will review the history of the Mortality Probability Model (MPM), discuss why and how it was recently updated, and outline examples of MPM use. RECENT FINDINGS:All severity-of-illness models have limitations, especially if a unit's patient population becomes highly specialized. In these situations, customized models may provide better accuracy. The MPMs include those calculated at admission (MPM0) and additional models at 24, 48, and 72 h (MPM 24, MPM 48, and MPM 72). The model is now in its third iteration (MPM 0-III). Length of stay (LOS) and subgroup models have also been developed. SUMMARY:Understanding appropriate application of models such as MPM is important as transparency in healthcare drives demand for severity-adjusted outcomes data.
journal_name
Curr Opin Crit Carejournal_title
Current opinion in critical careauthors
Higgins TL,Teres D,Nathanson Bdoi
10.1097/MCC.0b013e3283101643subject
Has Abstractpub_date
2008-10-01 00:00:00pages
498-505issue
5eissn
1070-5295issn
1531-7072pii
00075198-200810000-00005journal_volume
14pub_type
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0b013e3283632f1f
更新日期:2013-08-01 00:00:00
abstract::Intra-abdominal infection continues to pose a significant threat to critically ill patients in the year 2000. A review of the current literature reveals that despite remarkable developments in critical care medicine and extensive study of patients with tertiary peritonitis, the associated mortality rate remains nearly...
journal_title:Current opinion in critical care
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journal_title:Current opinion in critical care
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abstract:PURPOSE OF REVIEW:To discuss the clear rationale for evidence-based medicine (EvBM) in the challenging realms of resuscitation research, yet also provide case examples in which even the well designed, multicentered randomized clinical trial may have had unrecognized limitations, and thus misleading results. This is whe...
journal_title:Current opinion in critical care
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journal_title:Current opinion in critical care
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更新日期:2012-10-01 00:00:00
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journal_title:Current opinion in critical care
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journal_title:Current opinion in critical care
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更新日期:2020-04-01 00:00:00
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journal_title:Current opinion in critical care
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更新日期:2020-12-01 00:00:00
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journal_title:Current opinion in critical care
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更新日期:2019-08-01 00:00:00
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journal_title:Current opinion in critical care
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更新日期:2004-02-01 00:00:00
abstract:PURPOSE OF REVIEW:Delirium is frequently encountered in the ICU and is associated with significant adverse outcomes. The increasingly recognized consequences of ICU delirium should enhance efforts to improve recognition and management of this serious problem. We aim to review the recent literature on ICU delirium, incl...
journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0b013e32835132b9
更新日期:2012-04-01 00:00:00
abstract:PURPOSE OF REVIEW:We reviewed the topic of quality of life and prognosis of out-of-hospital cardiac arrest survivors, focusing on more recent developments. RECENT FINDINGS:In 2003 to 2004, published experiences from Canada, the United States, and Europe indicate that the quality of life among out-of-hospital cardiac a...
journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/01.ccx.0000125494.84614.fb
更新日期:2004-06-01 00:00:00
abstract:PURPOSE OF REVIEW:To describe current antimicrobial resistance in ESKAPE Gram-negative microorganisms and their situation in the ICUs, the implication of the so-called high-risk clones (HiRCs) involved in the spread of antimicrobial resistance as well as relevance of the COVID-19 pandemic in the potential increase of r...
journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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更新日期:2020-10-01 00:00:00
abstract:PURPOSE OF REVIEW:Selenium is a trace element essential to human health. Critical illness is associated with the generation of oxygen free radicals resulting in a condition of oxidative stress. Supplementing critically ill patients with antioxidant nutrients may improve survival. Selenium levels can be low due to redis...
journal_title:Current opinion in critical care
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更新日期:2006-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Appropriate measurements of success in trauma systems are evolving. We review the rationale behind prior trauma and rehabilitation outcomes measures, and how they have led to the current rehabilitation tools in use today. In addition, we review the difficulties with current methods and future improvem...
journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0b013e328307f25f
更新日期:2008-08-01 00:00:00
abstract:PURPOSE OF REVIEW:From an elderly patient's perspective, acute and chronic cognitive disturbances are among the most harmful complications that can occur following surgery. For elderly patients, these complications often mean the end of an independent life. This article focuses on this serious aspect, which is increasi...
journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0000000000000327
更新日期:2016-08-01 00:00:00
abstract:PURPOSE OF REVIEW:Statins are effective lipid-lowering agents used extensively in medical practice. This review summarizes the evidence for statin treatment of cardiovascular patients in the intensive care unit and briefly discusses the role of statins in prevention and treatment of sepsis as a potential future applica...
journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/01.ccx.0000235207.00322.96
更新日期:2006-08-01 00:00:00
abstract:PURPOSE OF REVIEW:The present article reviews the recent literature on the main aspects of perioperative acute kidney injury (AKI). RECENT FINDINGS:AKI occurs in 1 in every 10 surgical patients, with cardiac, orthopedic, and major abdominal surgeries being the procedures associated with the highest risk. Overall, comp...
journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/MCC.0000000000000560
更新日期:2018-12-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/mcc.0b013e3283220e60
更新日期:2009-02-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/00075198-200108000-00015
更新日期:2001-08-01 00:00:00
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journal_title:Current opinion in critical care
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journal_title:Current opinion in critical care
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更新日期:2015-02-01 00:00:00
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journal_title:Current opinion in critical care
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更新日期:2013-10-01 00:00:00
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journal_title:Current opinion in critical care
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更新日期:2011-10-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
doi:10.1097/00075198-200102000-00007
更新日期:2001-02-01 00:00:00
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journal_title:Current opinion in critical care
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更新日期:2005-12-01 00:00:00
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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更新日期:2002-10-01 00:00:00
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journal_title:Current opinion in critical care
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journal_title:Current opinion in critical care
pub_type: 杂志文章,评审
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更新日期:2012-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2003-04-01 00:00:00