A history of outcome prediction in the ICU.

Abstract:

PURPOSE OF REVIEW:There are few first-hand accounts that describe the history of outcome prediction in critical care. This review summarizes the authors' personal perspectives about the development and evolution of Acute Physiology and Chronic Health Evaluation over the past 35 years. RECENT FINDINGS:We emphasize what we have learned in the past and more recently our perspectives about the current status of outcome prediction, and speculate about the future of outcome prediction. SUMMARY:There is increasing evidence that superior accuracy in outcome prediction requires complex modeling with detailed adjustment for diagnosis and physiologic abnormalities. Thus, an automated electronic system is recommended for gathering data and generating predictions. Support, either public or private, is required to assist users and to update and improve models. Current outcome prediction models have increasingly focused on benchmarks for resource use, a trend that seems likely to increase in the future.

journal_name

Curr Opin Crit Care

authors

Zimmerman JE,Kramer AA

doi

10.1097/MCC.0000000000000138

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

550-6

issue

5

eissn

1070-5295

issn

1531-7072

journal_volume

20

pub_type

历史文章,杂志文章,评审
  • From persistence to palliation: limiting active treatment in the ICU.

    abstract:PURPOSE OF REVIEW:End-of-life care and communication deficits are important sources of conflicts within ICU teams and with patients or families. This narrative review describes recent studies on how to improve palliative care and surrogate decision-making in ICUs and compares the results with previously published liter...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e328358d417

    authors: Wiedermann CJ,Lehner GF,Joannidis M

    更新日期:2012-12-01 00:00:00

  • The epithelium in acute lung injury/acute respiratory distress syndrome.

    abstract:PURPOSE OF REVIEW:The mechanisms of epithelial injury in acute lung injury/acute respiratory distress syndrome have been of interest since the syndrome was first described. Cell therapies to replace injured epithelium are a futuristic dream; however, there is ongoing research to achieve this goal. We review research re...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e3282f417a0

    authors: Gropper MA,Wiener-Kronish J

    更新日期:2008-02-01 00:00:00

  • Causes and consequences of disproportionate care in intensive care medicine.

    abstract:PURPOSE OF REVIEW:Increased use of advanced life-sustaining measures in patients with poor long-term expectations secondary to more chronic organ dysfunctions, comorbidities and/or a poor quality of life has become a worrying trend over the last decade. This can lead to futile, disproportionate or inappropriate care in...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000026

    authors: Kompanje EJ,Piers RD,Benoit DD

    更新日期:2013-12-01 00:00:00

  • Medication-induced acute kidney injury.

    abstract:PURPOSE OF REVIEW:The present article will review the current state of our understanding of nephrotoxic medication-associated acute kidney injury (AKI) and provide strategies to reduce its impact. RECENT FINDINGS:Nephrotoxic medications contribute to a substantial proportion of AKI in hospitalized patients. The previo...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000355

    authors: Goldstein SL

    更新日期:2016-12-01 00:00:00

  • Nursing collaboration: a key element in debunking neurocritical care myths.

    abstract:PURPOSE OF REVIEW:To explore the origin of myths and their progression toward dogma. The process of debunking myths in the neurocritical care unit (NCCU) is facilitated if nurses are involved early during the process. RECENT FINDINGS:Current and past practices in the NCCU were reviewed through our personal experiences...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000075

    authors: Olson DM,Figueroa SA

    更新日期:2014-04-01 00:00:00

  • Selenium in critical illness.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/01.ccx.0000216581.80051.d6

    authors: Geoghegan M,McAuley D,Eaton S,Powell-Tuck J

    更新日期:2006-04-01 00:00:00

  • Prevention of acute respiratory distress syndrome.

    abstract:PURPOSE OF REVIEW:The paucity of effective therapeutic interventions in patients with the acute respiratory distress syndrome (ARDS) combined with overwhelming evidence on the importance of timely implementation of effective therapies to critically ill patients has resulted in a recent shift in ARDS research. Increasin...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000174

    authors: Festic E,Kor DJ,Gajic O

    更新日期:2015-02-01 00:00:00

  • Critical care management of acute ischemic stroke.

    abstract:PURPOSE OF REVIEW:To review and examine the efficacy of recently described medical and surgical interventions after acute ischaemic stroke using data from well conducted, clinical trials and systematic reviews. This review will consider recently published or updated articles. RECENT FINDINGS:As therapeutic options evo...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/00075198-200404000-00006

    authors: Andrews PJ

    更新日期:2004-04-01 00:00:00

  • Acute pancreatitis.

    abstract:PURPOSE OF REVIEW:To review advances over the last year in the prevention, diagnosis and management of acute pancreatitis. RECENT FINDINGS:Obesity is an independent risk factor for severity in acute pancreatitis, and heavy alcohol consumption for the development of necrosis in severe acute pancreatitis. Biochemical ma...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e3282f6a3f9

    authors: Skipworth JR,Pereira SP

    更新日期:2008-04-01 00:00:00

  • Community-acquired pneumonia as an emergency condition.

    abstract:PURPOSE OF REVIEW:Despite the improvements in its management, community-acquired pneumonia (CAP) still exhibits high global morbidity and mortality rates, especially in elderly patients. This review focuses on the most recent findings on the epidemiology, cause, diagnosis and management of CAP. RECENT FINDINGS:There i...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000550

    authors: Cillóniz C,Dominedò C,Garcia-Vidal C,Torres A

    更新日期:2018-12-01 00:00:00

  • Current use of the pulmonary artery catheter.

    abstract:PURPOSE OF REVIEW:The pulmonary artery catheter is one of the most scrutinized monitors used in intensive care today. Pulmonary artery catheter use is declining due to limited demonstrated beneficial outcomes and the advancement of less invasive monitoring. This study discusses the current use of the pulmonary artery c...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e32832b302b

    authors: Greenberg SB,Murphy GS,Vender JS

    更新日期:2009-06-01 00:00:00

  • Helicopter transport: help or hindrance?

    abstract:PURPOSE OF REVIEW:Traumatic injury continues to be a significant cause of morbidity and mortality in the year 2011. In addition, the healthcare expenditures and lost years of productivity represent significant economic cost to the affected individuals and their communities. Helicopters have been used to transport traum...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e32834c5655

    authors: Plevin RE,Evans HL

    更新日期:2011-12-01 00:00:00

  • Hemodynamic monitoring by echocardiography in the ICU: the role of the new echo techniques.

    abstract:PURPOSE OF REVIEW:The present review will discuss the usefulness of ultrasound in the ICU in assessing hemodynamic instability in various critical care conditions. We will discuss how to interpret echocardiographic findings in critically ill patients including the physiological consequences of mechanical ventilation. ...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e32830e6d81

    authors: Salem R,Vallee F,Rusca M,Mebazaa A

    更新日期:2008-10-01 00:00:00

  • Microcirculatory disorders in sepsis and transplantation: therapy with natural coagulatory inhibitors antithrombin and activated protein C.

    abstract:PURPOSE OF REVIEW:Modern technologies allow visualization of microcirculatory disorders. This review describes how the coagulatory inhibitors antithrombin and activated protein C (APC) can improve microcirculation in sepsis and transplantation. RECENT FINDINGS:The effects of antithrombin and APC on microcirculatory di...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/01.ccx.0000244121.54495.f7

    authors: Hoffmann JN,Fertmann JM,Jauch KW

    更新日期:2006-10-01 00:00:00

  • Prompt antibiotic administration and goal-directed hemodynamic support in patients with severe sepsis and septic shock.

    abstract:PURPOSE OF REVIEW:Treatment protocols targeting the rapid administration of appropriate antibiotics and hemodynamic support are now recognized as a key measure in the initial care of patients presenting with severe sepsis and septic shock. Strong evidence exists showing that time parameters, particularly in the emergen...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e3282e7d8e1

    authors: Nobre V,Sarasin FP,Pugin J

    更新日期:2007-10-01 00:00:00

  • Disaster preparation and management for the intensive care unit.

    abstract::The purpose of this report is to provide information regarding preparation for disaster management from the perspective of ICU physicians. Both a framework toward ICU preparation for disaster management and a guide to the relevant literature are presented. Our objective is to show that the understanding of disaster pr...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/00075198-200212000-00021

    authors: Roccaforte JD,Cushman JG

    更新日期:2002-12-01 00:00:00

  • Recent developments in percutaneous tracheostomy: improving techniques and expanding roles.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to provide an update of recent developments pertaining to the use of percutaneous tracheostomy. Percutaneous tracheostomy has been established as an alternative to open surgical tracheostomy, but many key questions about the optimal use of this procedure remain unanswered...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/01.ccx.0000170680.09759.f2

    authors: Bardell T,Drover JW

    更新日期:2005-08-01 00:00:00

  • Major surgery and the immune system: from pathophysiology to treatment.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to provide an overview of the immune response to major surgery, and the ways in which it may be modulated to improve postoperative outcomes. RECENT FINDINGS:Data from patients who have undergone a variety of tissue injuries (surgery, burns, sepsis, trauma) have shown the...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000561

    authors: Shankar Hari M,Summers C

    更新日期:2018-12-01 00:00:00

  • Improving cardiopulmonary resuscitation quality to ensure survival.

    abstract:PURPOSE OF REVIEW:There is correlation between quality of bystander cardiopulmonary resuscitation and patient survival. Recent developments in defibrillator technology enable recording of cardiopulmonary resuscitation quality, and have shown quality of professional cardiopulmonary resuscitation far from guidelines' lev...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e3282f827d3

    authors: Steen PA,Kramer-Johansen J

    更新日期:2008-06-01 00:00:00

  • Traumatic brain injury.

    abstract:PURPOSE OF REVIEW:Management of the patient with traumatic brain injury is a rapidly advancing field, characterized in recent years by an improved understanding of intracranial pathophysiology and ways in which outcomes can be improved. Many traditional therapies, such as fluid restriction and hyperventilation, have be...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/00075198-200312000-00007

    authors: Dutton RP,McCunn M

    更新日期:2003-12-01 00:00:00

  • Advanced extracorporeal therapy in trauma.

    abstract:PURPOSE OF REVIEW:The purpose is to review the current application of extracorporeal life support (ECLS) in trauma patients. In addition, programmatic development is described. RECENT FINDINGS:ECLS use is increasing among trauma patients. Several recent studies among trauma patients report survival rates of 65-79%. De...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000366

    authors: Zonies D,Merkel M

    更新日期:2016-12-01 00:00:00

  • Novelties in pharmacological management of cardiopulmonary resuscitation.

    abstract:PURPOSE OF REVIEW:The ultimate goal of cardiopulmonary resuscitation is long-term neurologically intact survival. Despite numerous well-designed studies, the medications currently used in advanced cardiac life support have not demonstrated success in this regard. This review describes the novel therapeutics under inves...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e328364d7b1

    authors: Bartos JA,Yannopoulos D

    更新日期:2013-10-01 00:00:00

  • What is the niche for extracorporeal membrane oxygenation in severe acute respiratory distress syndrome?

    abstract:PURPOSE OF REVIEW:This article reviews the results of case series and trials which evaluated venovenous extracorporeal membrane oxygenation (VV-ECMO) for severe respiratory failure. Potential indications of the technique in this setting are discussed. RECENT FINDINGS:Major technological improvements in extracorporeal ...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e328357f090

    authors: Combes A,Bréchot N,Luyt CE,Schmidt M

    更新日期:2012-10-01 00:00:00

  • Status epilepticus - time is brain and treatment considerations.

    abstract:PURPOSE OF REVIEW:Status epilepticus is a neurological emergency associated with high morbidity and mortality. There is a lack of robust data to guide the management of this neurological emergency beyond the initial treatment. This review examines recent literature on treatment considerations including the choice of co...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000661

    authors: Der-Nigoghossian C,Rubinos C,Alkhachroum A,Claassen J

    更新日期:2019-12-01 00:00:00

  • Technologic advances and program initiatives in public access defibrillation using automated external defibrillators.

    abstract::Widespread provision of early defibrillation following cardiac arrest holds major promise for improved survival from ventricular fibrillation. The critical element in predicting a successful outcome is the rapidity with which defibrillation is achieved. A worldwide awareness of this potential and its advocacy by such ...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/00075198-200106000-00002

    authors: White RD

    更新日期:2001-06-01 00:00:00

  • Patient-related risk factors for postoperative adverse events.

    abstract:PURPOSE OF REVIEW:The risk of adverse outcome in patients undergoing major surgery is affected both by cardiorespiratory fitness, and the presence and severity of comorbidities. Accurate risk stratification is essential for the identification of patients who may benefit from specific perioperative management strategies...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e32832e067c

    authors: Moonesinghe SR,Mythen MG,Grocott MP

    更新日期:2009-08-01 00:00:00

  • Postoperative sepsis.

    abstract:PURPOSE OF REVIEW:Postoperative sepsis is a major cause of surgical associated morbidity and mortality. Our goal is to describe its incidence, pathophysiology, and contributing factors. In addition, we will review preventive measures and treatment options that may possibly reduce its healthcare burden. RECENT FINDINGS...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0b013e328348bee2

    authors: Fried E,Weissman C,Sprung C

    更新日期:2011-08-01 00:00:00

  • Advancements in the critical care management of status epilepticus.

    abstract:PURPOSE OF REVIEW:Status epilepticus has a high morbidity and mortality. There are little definitive data to guide management; however, new recent data continue to improve understanding of management options of status epilepticus. This review examines recent advancements regarding the critical care management of status...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/MCC.0000000000000392

    authors: Bauerschmidt A,Martin A,Claassen J

    更新日期:2017-04-01 00:00:00

  • Limitations of clinical trials in acute lung injury and acute respiratory distress syndrome.

    abstract:PURPOSE OF REVIEW:To review the challenges and limitations of randomized clinical trials in acute respiratory distress syndrome, with special emphasis on those pertaining to ventilatory management. RECENT FINDINGS:Superbly executed randomized trials of ventilatory strategy have garnered deserved attention from the cri...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/01.ccx.0000198996.22072.4a

    authors: Marini JJ

    更新日期:2006-02-01 00:00:00

  • Insulin: an endogenous cardioprotector.

    abstract::This review discusses the myocardial protective property of the insulin/glucose-insulin-potassium regimen and the mechanisms involved in this beneficial action. Several recent studies suggest that insulin not only is useful to control hyperglycemia and maintain glucose homeostasis but also may have the unique property...

    journal_title:Current opinion in critical care

    pub_type: 杂志文章,评审

    doi:10.1097/00075198-200310000-00007

    authors: Das UN

    更新日期:2003-10-01 00:00:00