当前位置： SCI文献检索 > JOURNAL OF CRITICAL CARE期刊下所有文献 > Full Outline of UnResponsiveness score and Glasgow Coma Scale in medical patients with altered sensorium: interrater reliability and relation to outcome.

Full Outline of UnResponsiveness score and Glasgow Coma Scale in medical patients with altered sensorium: interrater reliability and relation to outcome.

Abstract：

PURPOSE:Full Outline of UnResponsiveness, or FOUR score (FS), is a recently described scoring system for evaluation of altered sensorium. This study examined interrater reliability for FS and Glasgow Coma Scale (GCS) among medical patients with altered mental status and compared outcome predictability of GCS, FS, and Sequential Organ Failure Assessment score. PATIENTS AND METHODS:Adult patients with altered mental status due to medical causes were rated by neurology consultants and internal medicine residents on FS and GCS. Interobserver reliability for GCS and FS was assessed using κ score. Relation with outcomes was explored using univariate and multivariate analyses. MAIN RESULTS:Of the 100 patients (age, 62 ± 17 years), 60 had neurologic conditions; 26, metabolic encephalopathy; 9, infections; and 7, others. Thirty-nine patients died at 3 months. κ Scores ranged from 0.71 to 0.85 for GCS and from 0.71 to 0.95 for FS. On multivariate analysis, GCS was predictive of outcome at 3 months; FS was predictive of mortality. Area under the receiver operating characteristic curves suggested equivalent performance of both scoring systems. CONCLUSIONS:Interrater reliability and outcome predictability for FS were comparable with those for GCS. This study supports the use of FS for evaluation of altered mental status in the medical wards.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Gujjar AR,Jacob PC,Nandhagopal R,Ganguly SS,Obaidy A,Al-Asmi AR

doi

10.1016/j.jcrc.2012.06.009

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

316.e1-8

issue

3

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(12)00184-0

journal_volume

28

pub_type

杂志文章

相关文献

JOURNAL OF CRITICAL CARE文献大全
  • L-canavanine, a selective inhibitor of inducible NO synthase, increases plasma endothelin-1 concentrations in dogs with endotoxic shock.

    abstract：PURPOSE:The purpose of this article is to elucidate the effect of L-canavanine, a selective inhibitor of inducible NO synthase (iNOS), on hemodynamics, blood gas parameters, and plasma concentrations of lactate and endothelin-1 (ET-1) during endotoxic shock. MATERIALS AND METHODS:Eleven mongrel dogs under pentobarbita...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1053/jcrc.2001.21792

    authors： Mitaka C,Hirata Y,Yokoyama K,Imai T

    更新日期：2001-03-01 00:00:00

  • An open-labelled randomized controlled trial comparing costs and clinical outcomes of open endotracheal suctioning with closed endotracheal suctioning in mechanically ventilated medical intensive care patients.

    abstract：PURPOSE:Closed endotracheal suctioning (CES) may impact ventilator-associated pneumonia (VAP) risk by reducing environmental contamination. In developing countries where resource limitations constrain the provision of optimal bed space for critically ill patients, CES assumes greater importance. MATERIALS AND METHODS:...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2010.10.002

    authors： David D,Samuel P,David T,Keshava SN,Irodi A,Peter JV

    更新日期：2011-10-01 00:00:00

  • Hypoxic respiratory failure in term newborns: clinical indicators for inhaled nitric oxide and extracorporeal membrane oxygenation therapy.

    abstract：PURPOSE:The criteria for starting extracorporeal membrane oxygenation (ECMO) therapy in term newborn patients with hypoxemic respiratory failure consist of an oxygenation index (OI) of 25 or higher and alveolar-arterial oxygen (Aao(2)) gradient of more than 600 at sea level. In such conditions, inhaled nitric oxide (iN...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2005.05.011

    authors： Fakioglu H,Totapally BR,Torbati D,Raszynski A,Sussmane JB,Wolfsdorf J

    更新日期：2005-09-01 00:00:00

  • "Pseudo-subarachnoid hemorrhage sign" on early brain computed tomography in out-of-hospital cardiac arrest survivors receiving targeted temperature management.

    abstract：PURPOSE:Newly updated guidelines suggest brain computed tomography for out-of-hospital cardiac arrest survivors to identify a neurologic cardiac arrest cause. We hypothesized that the "pseudo-subarachnoid hemorrhage" (p-SAH) sign in cardiac arrest survivors is associated with poor outcome. MATERIALS AND METHODS:We ret...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.02.021

    authors： Lee BK,Kim YJ,Ryoo SM,Kim SJ,Lee DH,Jeung KW,Kim WY

    更新日期：2017-08-01 00:00:00

  • Accelerometer-based devices can be used to monitor sedation/agitation in the intensive care unit.

    abstract：PURPOSE:Monitoring sedation/agitation levels in patients in the intensive care unit (ICU) are important to direct treatment and to improve outcomes. This study was designed to determine the potential use of accelerometer-based sensors/devices to objectively measure sedation/agitation in patients admitted to the ICU. M...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.05.014

    authors： Raj R,Ussavarungsi K,Nugent K

    更新日期：2014-10-01 00:00:00

  • How to facilitate the placement of a transesophageal probe in a ventilated patient?

    abstract：PURPOSE:Transesophageal probe insertion in the ventilated patients often is difficult. Different complex techniques were suggested for easier placement of the transesophageal probe. In this work, we describe a simple technique of TEE probe insertion in ventilated patients. METHODS AND RESULTS:In the period 2015-2018, ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.11.020

    authors： Leitman M,Fuchs S,Ilgiyaev E

    更新日期：2019-04-01 00:00:00

  • Ketamine for analgosedation in critically ill patients.

    abstract：PURPOSE:The purpose of this narrative review is to provide practical and useful guidance for clinicians considering the use of intravenous ketamine for its analgosedative properties in adult, critically ill patients. METHODS:MEDLINE was searched from inception until January 2016. Articles related to the pharmacologica...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2016.05.016

    authors： Erstad BL,Patanwala AE

    更新日期：2016-10-01 00:00:00

  • Investigation of critical care unit utilization and mortality in patients infected with Clostridium difficile.

    abstract：BACKGROUND:A nationwide increase in the rate and severity of Clostridium difficile-associated disease may reflect infection with a virulent strain characterized by polymerase chain reaction as ribotype 027 (NAP1/B1). HYPOTHESIS:The high prevalence of ribotype 027 at our institution would allow investigation of the ris...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.04.002

    authors： Gasperino J,Garala M,Cohen HW,Kvetan V,Currie B

    更新日期：2010-06-01 00:00:00

  • Prognostic factors for heart recovery in adult patients with acute fulminant myocarditis and cardiogenic shock supported with extracorporeal membrane oxygenation.

    abstract：BACKGROUND:Extracorporeal membrane oxygenation (ECMO) is an effective support method for acute fulminant myocarditis (AFM) with cardiogenic shock. However, deciding whether to bridge to a left ventricular assist device (LVAD) or to maintain ECMO support until heart recovery is still controversial. MATERIAL AND METHODS...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2020.03.007

    authors： Chou HW,Wang CH,Lin LY,Chi NH,Chou NK,Yu HY,Chen YS

    更新日期：2020-06-01 00:00:00

  • Importance of tonicity of carbicarb on the functional and metabolic responses of the acidotic isolated heart.

    abstract：:In this study, the physiological and metabolic effects of Carbicarb administered as an isotonic (150 mmol/L Na[n[]I+) or hypertonic (1 mol/L Na[n[]I+) solution over 2 minutes in the acidotic isolated heart were compared. Physiological monitoring as well as 31P and 23Na nuclear magnetic resonance spectroscopy were perf...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/0883-9441(93)90006-7

    authors： Huntley JJ,McCormack M,Jin H,Hutchison RB,Shapiro JI

    更新日期：1993-12-01 00:00:00

  • The influence of anesthesia on heart rate complexity during elective and urgent surgery in 128 patients.

    abstract：BACKGROUND:As an emerging "new vital sign," heart rate complexity (by sample entropy [SampEn]) has been shown to be a useful trauma triage tool by predicting occult physiologic compromise and need for life-saving interventions. Sample entropy may be confounded by anesthesia possibly limiting its value intraoperatively....

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.08.008

    authors： Naraghi L,Peev MP,Esteve R,Chang Y,Berger DL,Thayer SP,Rattner DW,Lillemoe KD,Kaafarani H,Yeh DD,de Moya MA,Fagenholz PJ,Velmahos GS,King DR

    更新日期：2015-02-01 00:00:00

  • Superiority of transcutaneous CO2 over end-tidal CO2 measurement for monitoring respiratory failure in nonintubated patients: A pilot study.

    abstract：PURPOSE:Arterial blood gas measurement is frequently performed in critically ill patients to diagnose and monitor acute respiratory failure. At a given metabolic rate, carbon dioxide partial pressure (PaCO2) is entirely determined by CO2 elimination through ventilation. Transcutaneous partial pressure of carbon dioxide...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.09.014

    authors： Lermuzeaux M,Meric H,Sauneuf B,Girard S,Normand H,Lofaso F,Terzi N

    更新日期：2016-02-01 00:00:00

  • Heparin/N-acetylcysteine: an adjuvant in the management of burn inhalation injury: a study of different doses.

    abstract：PURPOSE:Nebulized heparin may reduce fibrin cast formation and reduce the degree of airway obstruction in burn inhalation injury. METHODS:Twenty-nine patients admitted to burn intensive care unit (ICU) within 24 hours of burn inhalation injury were included in this prospective double-blinded randomized study. Group H5...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2013.06.017

    authors： Elsharnouby NM,Eid HE,Abou Elezz NF,Aboelatta YA

    更新日期：2014-02-01 00:00:00

  • Clinical impact of lung ultrasound monitoring for diagnosis of ventilator associated pneumonia: A diagnostic randomized controlled trial.

    abstract：PURPOSE:Studies have shown that lung-ultrasound may be superior to chest x-ray (CXR) in diagnosing ventilator-associated pneumonia (VAP). This study investigated whether the use of lung-ultrasound monitoring could detect VAP earlier and improve patient outcome. METHODS:This was a single-center diagnostic randomized co...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2020.03.012

    authors： Pradhan S,Shrestha PS,Shrestha GS,Marhatta MN

    更新日期：2020-08-01 00:00:00

  • Immature granulocytes: A novel biomarker of acute respiratory distress syndrome in patients with acute pancreatitis.

    abstract：PURPOSE:To investigate the relationship between immature granulocyte percentage (IG%) and acute respiratory distress syndrome (ARDS) in patients with acute pancreatitis (AP). MATERIALS AND METHODS:A cohort of 2289 patients with AP was screened; 1933 were enrolled in this prospective multicenter study. Blood samples fo...

    journal_title：Journal of critical care

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jcrc.2018.12.002

    authors： Huang Y,Xiao J,Cai T,Yang L,Shi F,Wang Y,Li Y,Shi T,Li C,Peng Y,Chen J,Song Y,Hu J,Tan C

    更新日期：2019-04-01 00:00:00

  • Patient-ventilator dyssynchronies: Are they all the same? A clinical classification to guide actions.

    abstract：:Patient ventilatory dyssynchrony (PVD) is a mismatch between the respiratory drive of the patient and ventilatory assistance. It is a complex event seen in almost all ventilated patients and at any ventilator mode, with uncertain significance and prognosis. Due to its different pathophysiological mechanisms, there is ...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2020.07.016

    authors： Damiani LF,Bruhn A,Retamal J,Bugedo G

    更新日期：2020-12-01 00:00:00

  • The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: A randomized controlled trial.

    abstract：PURPOSE:Handover of patient care is a potential safety risk for the patient due to loss of information which may result in adverse outcome. We hypothesized that a checklist for handover from the operating room (OR) to the intensive care unit (ICU) will lead to an increase of quality regarding information transfer compa...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2015.12.016

    authors： Salzwedel C,Mai V,Punke MA,Kluge S,Reuter DA

    更新日期：2016-04-01 00:00:00

  • External validation of Acute Physiology and Chronic Health Evaluation IV in Dutch intensive care units and comparison with Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II.

    abstract：PURPOSE:The aim of this study was to validate and compare the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) IV in the Dutch intensive care unit (ICU) population to the APACHE II and Simplified Acute Physiology Score (SAPS) II. MATERIALS AND METHODS:This is a prospective study based on data...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2010.07.007

    authors： Brinkman S,Bakhshi-Raiez F,Abu-Hanna A,de Jonge E,Bosman RJ,Peelen L,de Keizer NF

    更新日期：2011-02-01 00:00:00

  • Association between transient acute kidney injury and morbidity and mortality after lung transplantation: a retrospective cohort study.

    abstract：PURPOSE:Acute kidney injury (AKI) is a common occurrence after lung transplantation (LTx). Whether transient AKI or early recovery is associated with improved outcome is uncertain. Our aim was to describe the incidence, factors, and outcomes associated with transient AKI after LTx. MATERIALS AND METHODS:We performed a...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.07.024

    authors： Fidalgo P,Ahmed M,Meyer SR,Lien D,Weinkauf J,Kapasi A,Cardoso FS,Jackson K,Bagshaw SM

    更新日期：2014-12-01 00:00:00

  • Elevated asymmetric dimethylarginine levels predict short- and long-term mortality risk in critically ill patients.

    abstract：OBJECTIVE:Serum concentrations of asymmetric dimethylarginine (ADMA), an endogenous inhibitor of nitric oxide synthase, may contribute to endothelial dysfunction and organ failure in sepsis. We aimed at investigating ADMA levels as a potential diagnostic or prognostic biomarker in critically ill patients. METHODS:Two ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2013.05.016

    authors： Koch A,Weiskirchen R,Kunze J,Dückers H,Bruensing J,Buendgens L,Matthes M,Luedde T,Trautwein C,Tacke F

    更新日期：2013-12-01 00:00:00

  • Postreperfusion syndrome: hypotension after reperfusion of the transplanted liver.

    abstract：:Sixty-nine patients undergoing liver transplantation were evaluated to elucidate the relationship between hypotension and physiological changes seen on reperfusion of the grafted liver. Measured variables included hemodynamic profiles, core temperature, serum potassium, ionized calcium levels, arterial blood-gas tensi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/0883-9441(93)90021-c

    authors： Aggarwal S,Kang Y,Freeman JA,Fortunato FL Jr,Pinsky MR

    更新日期：1993-09-01 00:00:00

  • Intracranial pressure and cerebral perfusion pressure in patients developing brain death.

    abstract：PURPOSE:We investigated whether a critical rise of intracranial pressure (ICP) leading to a loss of cerebral perfusion pressure (CPP) could serve as a surrogate marker of brain death (BD). MATERIALS AND METHODS:We retrospectively analyzed ICP and CPP of patients in whom BD was diagnosed (n = 32, 16-79 years). Intracra...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.03.009

    authors： Salih F,Holtkamp M,Brandt SA,Hoffmann O,Masuhr F,Schreiber S,Weissinger F,Vajkoczy P,Wolf S

    更新日期：2016-08-01 00:00:00

  • Prognostic nomogram for acute pancreatitis patients: An analysis of publicly electronic healthcare records in intensive care unit.

    abstract：PURPOSE:The mortality rate of severe acute pancreatitis (AP) is 20-30% even after admission to intensive care unit (ICU). Thus we aimed to develop a laboratory-based nomogram to identify AP patients at high risk for mortality. MATERIALS AND METHODS:The primary and validation cohorts were extracted from the Medical Inf...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.10.030

    authors： Jiang X,Su Z,Wang Y,Deng Y,Zhao W,Jiang K,Sun C

    更新日期：2019-04-01 00:00:00

  • Cost-effectiveness analysis of early point-of-care lactate testing in the emergency department.

    abstract：PURPOSE:To determine the cost-effectiveness of implementing a point-of-care (POC) Lactate Program in the emergency department (ED) for patients with suspected sepsis to identify patients who can benefit from early resuscitation. MATERIALS AND METHODS:We constructed a cost-effectiveness model to examine an ED with 30 0...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.06.031

    authors： Ward MJ,Self WH,Singer A,Lazar D,Pines JM

    更新日期：2016-12-01 00:00:00

  • Identifying essential elements to include in Intensive Care Unit to hospital ward transfer summaries: A consensus methodology.

    abstract：PURPOSE:Transitions of care from the intensive care unit (ICU) to a hospital ward are high risk and contingent on effective communication. We sought to identify essential information elements to be included in an ICU to hospital ward transfer summary tool, and describe tool functionality and composition perceived to be...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.10.001

    authors： ICU Transfer Summary Consensus Panel,.,de Grood C,Job McIntosh C,Boyd JM,Zjadewicz K,Parsons Leigh J,Stelfox HT

    更新日期：2019-02-01 00:00:00

  • Use of probiotics to prevent ventilator-associated pneumonia: A survey of pharmacists' attitudes.

    abstract：PURPOSE:The primary objective of this survey was to describe pharmacists' attitudes regarding probiotic use in the intensive care unit (ICU); secondary objectives were to evaluate pharmacists' knowledge and use of probiotics for critically ill patients. METHODS:The survey instrument was rigorously designed and pretest...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.10.016

    authors： Wheeler KE,Cook DJ,Mehta S,Calce A,Guenette M,Perreault MM,Thiboutot Z,Duffett M,Burry L

    更新日期：2016-02-01 00:00:00

  • The development of ultrashort acting neuromuscular relaxant tropane derivatives.

    abstract：:There is a need for neuromuscular relaxant (NMR) agents that are of the "nondepolarizing type" and produce rapidly developing and short-lasting skeletal muscle relaxation in anesthesiology. Many efforts have been directed to produce such agents. Our research focused on the design, synthesis, and evaluation of numerous...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2008.08.005

    authors： Gyermek L,Lee C

    更新日期：2009-03-01 00:00:00

  • Pressure ulcer incidence and risk factors in ventilated intensive care patients.

    abstract：PURPOSE:The aim of this study was to determine the incidence of pressure ulcers (PUs) in ventilated patients in all intensive care units (ICUs) in Granada (Spain) and identify risk factors for their development. MATERIALS AND METHODS:A prospective cohort study in 9 medical-surgical ICUs was conducted. Two hundred nine...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.09.002

    authors： Manzano F,Navarro MJ,Roldán D,Moral MA,Leyva I,Guerrero C,Sanchez MA,Colmenero M,Fernández-Mondejar E,Granada UPP Group.

    更新日期：2010-09-01 00:00:00

  • The methodology and pharmacokinetics study of intraventricular administration of vancomycin in patients with intracranial infections after craniotomy.

    abstract：OBJECTIVE:The purpose of the study was to investigate the pharmacokinetics of combined intravenous (i.v.) and intracerebroventricular (i.c.v.) vancomycin for patients with intracranial infections after craniotomy and to provide the basis for establishing the intracranial local administration criterion. METHODS:Fourtee...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.09.020

    authors： Chen K,Wu Y,Wang Q,Wang J,Li X,Zhao Z,Zhou J

    更新日期：2015-02-01 00:00:00

  • The diagnosis of myocardial infarction in critically ill patients: an agreement study.

    abstract：PURPOSE:The aim of the study was to assess agreement among 4 intensivists in diagnosing myocardial infarction (MI) in critically ill patients based on screening electrocardiograms (ECGs) and cardiac troponin (cTn) levels. METHODS:Consecutive patients admitted to a medical-surgical intensive care unit (ICU) underwent s...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2008.08.012

    authors： Lim W,Tkaczyk A,Holinski P,Qushmaq I,Jacka M,Khera V,Devereaux PJ,Terrenato I,Schunemann H,Heels-Ansdell D,Crowther M,Cook D

    更新日期：2009-09-01 00:00:00