当前位置： SCI文献检索 > JOURNAL OF CRITICAL CARE期刊下所有文献 > Risk factors for prolonged duration of mechanical ventilation in acute traumatic tetraplegic patients--a retrospective cohort study.

Risk factors for prolonged duration of mechanical ventilation in acute traumatic tetraplegic patients--a retrospective cohort study.

Abstract：

PURPOSE:Respiratory complications constitute an important determinant of length of stay in tetraplegic patients. In a population of tetraplegic patients, we investigated the factors involved in the duration of mechanical ventilation (MV) and whether the duration of MV was associated with the long-term neurologic status. MATERIAL AND METHODS:In a retrospective study in 3 intensive care units (ICUs) (January 2001 to December 2009), consecutive patients (≥ 18 years) hospitalized for acute (≤ 24 hours) traumatic tetraplegia were included in the study. Patients with severe brain injury or who died in the first 48 hours were excluded. The primary outcome was the duration of MV. The secondary outcomes were the American Spinal Injury Association (ASIA) motor score on ICU discharge and at 1 year. RESULTS:A total of 164 consecutive adult patients with tetraplegia were analyzed. Median (interquartile range) ASIA motor scores were 15 (6-26) on admission, 22 (9-40) on ICU discharge (n = 145 survivors), and 37 (10-80) at 1 year (n = 52 complete follow-up). The median duration of MV was 11 (2-26) days. In multivariate analysis, MV duration increased with pneumonia (P < .0001), atelectasis (P = .0042), and tracheotomy (P < .0001). In exploratory analysis, an increased duration of MV was the only factor associated in multivariate analysis with a low ASIA motor score on ICU discharge (P = .0201) and at 1 year (P = .0003). CONCLUSIONS:Prevention of pneumonia and atelectasis is critical for the reduction of MV in tetraplegic patients. Prolonged MV was independently associated with poor neurologic status.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Roquilly A,Seguin P,Mimoz O,Feuillet F,Rosenczweig E,Chevalier F,Loutrel O,Malledant Y,Sebille V,Asehnoune K,ATLANREA Study Group.

doi

10.1016/j.jcrc.2013.11.021

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

313.e7-13

issue

2

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(13)00458-9

journal_volume

29

pub_type

杂志文章,多中心研究

相关文献

JOURNAL OF CRITICAL CARE文献大全
  • Defining patient-centered recovery after critical illness - A qualitative study.

    abstract：PURPOSE:To explore perspectives of adult critical illness survivors and identify important aspects to care and recovery. MATERIALS AND METHODS:A descriptive, qualitative study of adult survivors of prolonged critical illness, six-months after Intensive Care Unit (ICU) discharge, using semi-structured interviews and th...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2020.01.028

    authors： Thurston LM,Milnes SL,Hodgson CL,Berkovic DE,Ayton DR,Iwashyna TJ,Orford NR

    更新日期：2020-06-01 00:00:00

  • Plasma neutrophil gelatinase-associated lipocalin is an early marker of acute kidney injury in adult critically ill patients: a prospective study.

    abstract：PURPOSE:The aim of the study was to assess the ability of plasma neutrophil gelatinase-associated lipocalin (pNGAL) to predict acute kidney injury (AKI) in adult intensive care unit (ICU) patients. METHODS:All consecutives patients admitted to 3 ICUs were enrolled in this prospective-observational study. Plasma neutro...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.05.010

    authors： Constantin JM,Futier E,Perbet S,Roszyk L,Lautrette A,Gillart T,Guerin R,Jabaudon M,Souweine B,Bazin JE,Sapin V

    更新日期：2010-03-01 00:00:00

  • Contradictions in end-of-life decisions for self and other, expressed by relatives of chronically ventilated patients.

    abstract：OBJECTIVES:In certain populations, social, legal, and religious factors may influence end-of-life decisions in ventilator-dependent patients. This study aims to evaluate attitudes of first-degree relatives of chronically ventilated patients in Israel, toward end-of-life decisions regarding their loved ones, themselves,...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.01.011

    authors： Sviri S,Garb Y,Stav I,Rubinow A,Linton DM,Caine YG,Marcus EL

    更新日期：2009-06-01 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

  • Psychometric validation of the Chinese patient- and family satisfaction in the intensive care unit questionnaires.

    abstract：PURPOSE:To assess the psychometric properties of the Chinese version of the 23-item Patient Satisfaction in the Intensive Care Unit (PS-ICU-23) and 24-item Family Satisfaction in the Intensive Care Unit (FS-ICU-24) questionnaires. MATERIALS AND METHODS:Patients (n = 243) discharged from an intensive care unit (ICU) in...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.07.009

    authors： Lai VKW,Li JC,Lee A

    更新日期：2019-12-01 00:00:00

  • A study of once-daily amikacin with low peak target concentrations in intensive care unit patients: pharmacokinetics and associated outcomes.

    abstract：PURPOSE:The aim of this study was to assess the pharmacokinetics of individualized amikacin single-dosage regimens targeting low peak serum concentrations in a population of intensive care unit (ICU) patients, and to describe the outcomes associated with this dosing strategy. MATERIALS AND METHODS:In this prospective,...

    journal_title：Journal of critical care

    pub_type： 临床试验,杂志文章

    doi：10.1053/jcrc.2003.50003

    authors： Bacopoulou F,Markantonis SL,Pavlou E,Adamidou M

    更新日期：2003-06-01 00:00:00

  • Choice of renal replacement therapy modality in intensive care units: data from a Japanese Nationwide Administrative Claim Database.

    abstract：PURPOSE:This study was undertaken to assess recent trends of the choice of renal replacement therapy (RRT) modalities in Japanese intensive care units (ICUs). MATERIALS AND METHODS:Data were extracted from the Japanese Diagnosis Procedure Combination database for 2011. We identified adult patients without end-stage re...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.11.003

    authors： Iwagami M,Yasunaga H,Noiri E,Horiguchi H,Fushimi K,Matsubara T,Yahagi N,Nangaku M,Doi K

    更新日期：2015-04-01 00:00:00

  • Sixty-four-slice computed tomographic scanner to clear traumatic cervical spine injury: systematic review of the literature.

    abstract：PURPOSE:Cervical spine (CS) injury in blunt trauma is a prevalent and devastating complication. Clearing CS injuries in obtunded patients is fraught with challenges, and no single imaging modality or algorithm is both safe and effective. Increased time in c-spine precautions is associated with greater patient morbidity...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2013.10.022

    authors： Kanji HD,Neitzel A,Sekhon M,McCallum J,Griesdale DE

    更新日期：2014-04-01 00:00:00

  • Integration of urinary neutrophil gelatinase-associated lipocalin with serum creatinine delineates acute kidney injury phenotypes in critically ill children.

    abstract：PURPOSE:Acute kidney injury (AKI) is prevalent in critically ill patients and associated with poor outcomes. Current AKI diagnostics- changes to serum creatinine (SCr) and urine output- are imprecise. Integration of injury biomarkers with SCr may improve diagnostic precision. METHODS:We performed a secondary analysis ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.05.017

    authors： Stanski N,Menon S,Goldstein SL,Basu RK

    更新日期：2019-10-01 00:00:00

  • Reasons underlying interhospital transfers to an academic medical intensive care unit.

    abstract：PURPOSE:Interhospital critical care transfers are common, yet few studies address the underlying reasons for transfers. We examined clinician and patient/surrogate perceptions about interhospital transfers and assessed their agreement on these transfers. MATERIALS AND METHODS:This is a mixed-mode survey of 3 major sta...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2012.07.027

    authors： Wagner J,Iwashyna TJ,Kahn JM

    更新日期：2013-04-01 00:00:00

  • Temperature control in critically ill patients with fever: A meta-analysis of randomized controlled trials.

    abstract：PURPOSE:Fever is frequently encountered in ICU. It is unclear if targeted temperature control is beneficial in critically ill patients with suspected or confirmed infection. We conducted a systemic review and meta-analysis to answer this question. METHODS:We systematically reviewed major databases before January 2020 ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2020.10.016

    authors： Sakkat A,Alquraini M,Aljazeeri J,Farooqi MAM,Alshamsi F,Alhazzani W

    更新日期：2021-02-01 00:00:00

  • Swallowing dysfunction in elderly trauma patients.

    abstract：PURPOSE:Newly diagnosed swallowing dysfunction is rare, with an incidence <1% in hospitalized patients. The purpose of this study was to evaluate the incidence and clinical characteristics of dysphagia in elderly trauma patients specifically. METHODS:Patients ≥75years who had newly diagnosed swallowing dysfunction wer...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.07.027

    authors： Laan DV,Pandian TK,Jenkins DH,Kim BD,Morris DS

    更新日期：2017-12-01 00:00:00

  • Outcomes of emergency laparotomy in patients on extracorporeal membrane oxygenation for severe respiratory failure: A retrospective, observational cohort study.

    abstract：PURPOSE:There is a paucity of literature to support undertaking emergency laparotomy when indicated in patients supported on ECMO. Our study aims to identify the prevalence, outcomes and complications of this high risk surgery at a large ECMO centre. MATERIALS AND METHODS:A single centre, retrospective, observational ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.06.021

    authors： McCann C,Adams K,Schizas A,George M,Barrett NA,Wyncoll DLA,Camporota L

    更新日期：2019-10-01 00:00:00

  • Extracorporeal membrane oxygenation (ECMO) as a treatment strategy for severe acute respiratory distress syndrome (ARDS) in the low tidal volume era: A systematic review.

    abstract：OBJECTIVE:To evaluate the hospital survival in patients with severe ARDS managed with ECMO and low tidal volume ventilation as compared to patients managed with low tidal volume ventilation alone. METHODS:Electronic databases were searched for studies of at least 10 adult patients with severe ARDS comparing the use of...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2017.04.041

    authors： Tillmann BW,Klingel ML,Iansavichene AE,Ball IM,Nagpal AD

    更新日期：2017-10-01 00:00:00

  • Secondary EMR data for quality improvement and research: A comparison of manual and electronic data collection from an integrated critical care electronic medical record system.

    abstract：PURPOSE:This study measured the quality of data extracted from a clinical information system widely used for critical care quality improvement and research. MATERIALS AND METHODS:We abstracted data from 30 fields in a random sample of 207 patients admitted to nine adult, medical-surgical intensive care units. We asses...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.07.021

    authors： Brundin-Mather R,Soo A,Zuege DJ,Niven DJ,Fiest K,Doig CJ,Zygun D,Boyd JM,Parsons Leigh J,Bagshaw SM,Stelfox HT

    更新日期：2018-10-01 00:00:00

  • Mild induced hypothermia for patients with severe traumatic brain injury after decompressive craniectomy.

    abstract：PURPOSE:To evaluate the efficacy and safety of mild induced hypothermia for intracranial hypertension in patients with traumatic brain injury after decompressive craniectomy. METHODS:A total of 60 adults with intracranial pressure (ICP) of more than 20 mm Hg after decompressive craniectomy were randomly assigned to st...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2016.12.012

    authors： Tang C,Bao Y,Qi M,Zhou L,Liu F,Mao J,Lei Q,Qi S,Qiu B

    更新日期：2017-06-01 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

  • A modified Delphi process to identify clinical and research priorities in patient and family centred critical care.

    abstract：PURPOSE:To identify elements which enable patient and family centred care (PFCC) in the intensive care unit (ICU) and priorities for PFCC research. MATERIALS AND METHODS:We engaged a panel of multidisciplinary stakeholders in a modified Delphi process. Items generated from a literature review and panelist suggestions ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.08.008

    authors： Oczkowski SJW,Au S,des Ordons AR,Gill M,Potestio ML,Smith O,Sinuff T,Stelfox HT,Fox-Robichaud AE

    更新日期：2017-12-01 00:00:00

  • Bedside implantation of a new temporary vena cava inferior filter - Safety and efficacy results of the European ANGEL-Registry.

    abstract：PURPOSE:Pulmonary embolism (PE) is a frequently occurring complication in critically ill patients. Simultaneous occurrence of PE and life-threatening bleeding, may render medical anticoagulation impossible. For these patients, inferior vena cava filters (IVCF) present a valuable therapeutic alternative. The Angel® cath...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.10.009

    authors： Baumann S,Becher T,Giannakopoulos K,Jabbour C,Rutsch M,Fastner C,El-Battrawy I,Ansari U,Lossnitzer D,Behnes M,Alonso A,Kirschning T,Michels G,Stern D,Dissmann R,Kueck O,Taccone FS,Waldmann C,Bunker N,Postiglione M,

    更新日期：2018-04-01 00:00:00

  • Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: prevention.

    abstract：BACKGROUND:Ventilator-associated pneumonia (VAP) is an important cause of morbidity and mortality in ventilated critically ill patients. PURPOSE:To develop evidence-based guidelines for the prevention of VAP. DATA SOURCES:MEDLINE, EMBASE, CINAHL, and the Cochrane Database of Systematic Reviews and Register of Control...

    journal_title：Journal of critical care

    pub_type： 杂志文章,实务指引

    doi：10.1016/j.jcrc.2007.11.014

    authors： Muscedere J,Dodek P,Keenan S,Fowler R,Cook D,Heyland D,VAP Guidelines Committee and the Canadian Critical Care Trials Group.

    更新日期：2008-03-01 00:00:00

  • Admission hyperlactatemia: causes, incidence, and impact on outcome of patients admitted in a general medical intensive care unit.

    abstract：PURPOSE:The aim of this study was to evaluate the causes, incidence, and impact on outcome of admission hyperlactatemia in patients admitted to a general medical intensive care unit (ICU). METHODS:A retrospective cohort study was done in an 8-bed general ICU of tertiary care hospital over 15 months. Data regarding pat...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2010.11.009

    authors： Juneja D,Singh O,Dang R

    更新日期：2011-06-01 00:00:00

  • The impact of non-blinding in critical care medicine trials.

    abstract：PURPOSE:It is uncertain whether, in critical care medicine, non-blinded trials are associated with a bias toward a different effect size. The aim of our study was to assess if conducting non-blinded/open label studies leads to greater effect size than blinded studies, and to provide an estimate of the weight of this di...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.09.031

    authors： Baiardo Redaelli M,Belletti A,Monti G,Lembo R,Ortalda A,Landoni G,Bellomo R

    更新日期：2018-12-01 00:00:00

  • Extravascular lung water index and global end-diastolic volume index should be corrected in children.

    abstract：PURPOSE:The aim of the present study was to explain why extravascular lung water index (EVLWI) is higher and why global end-diastolic blood volume index (GEDVI) is lower in young children when measured with the PiCCO system (Pulsion, Munich, Germany). MATERIALS AND METHODS:We pooled available data from literature from...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2010.10.014

    authors： Lemson J,Merkus P,van der Hoeven JG

    更新日期：2011-08-01 00:00:00

  • African American race, obesity, and blood product transfusion are risk factors for acute kidney injury in critically ill trauma patients.

    abstract：PURPOSE:Acute kidney injury (AKI) is a common source of morbidity after trauma. We sought to determine novel risk factors for AKI, by Acute Kidney Injury Network (AKIN) criteria, in critically ill trauma patients. MATERIALS AND METHODS:A prospective cohort of 400 patients admitted to the intensive care unit of a level...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2012.02.002

    authors： Shashaty MG,Meyer NJ,Localio AR,Gallop R,Bellamy SL,Holena DN,Lanken PN,Kaplan S,Yarar D,Kawut SM,Feldman HI,Christie JD

    更新日期：2012-10-01 00:00:00

  • Evidence-based modeling of critical illness: an initial consensus from the Society for Complexity in Acute Illness.

    abstract：INTRODUCTION:Given the complexity of biological systems, understanding their dynamic behaviors, such as the Acute Inflammatory Response (AIR), requires a formal synthetic process. Dynamic Mathematical Modeling (DMM) represents a suite of methods intended for inclusion within the required synthetic framework. The DMM, h...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2006.12.001

    authors： Vodovotz Y,Clermont G,Hunt CA,Lefering R,Bartels J,Seydel R,Hotchkiss J,Ta'asan S,Neugebauer E,An G

    更新日期：2007-03-01 00:00:00

  • Major publications in the critical care pharmacotherapy literature: 2019.

    abstract：PURPOSE:To summarize selected meta-analyses and trials related to critical care pharmacotherapy published in 2019. MATERIALS AND METHODS:The Critical Care Pharmacotherapy Literature Update (CCPLU) Group screened 36 journals monthly for impactful articles and reviewed 113 articles during 2019 according to Grading of Re...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2020.12.018

    authors： Condeni MS,Basting AT,Costello PG,DePriest A,Eriksson EA,Evans H,Hertel K,Holder AL,Kester AN,Kowalski KR,Bell CM,McLean B,Reichert M,Santibañez M,Wieruszewski PM,Newsome AS

    更新日期：2020-12-27 00:00:00

  • Selective digestive decontamination in critically ill children: A survey of Canadian providers.

    abstract：BACKGROUND:Selective digestive decontamination of the digestive tract involves the routine administration of oral, gastric, and intravenous antibiotics to mechanically ventilated children to prevent hospital-acquired infections. It has a strong evidence base in adults, with limited pediatric evidence. Current utilizati...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.02.024

    authors： Murthy S,Pathan N,Cuthbertson BH

    更新日期：2017-06-01 00:00:00

  • Documenting life-support preferences in hospitalized patients.

    abstract：PURPOSE:The purpose of this article was to determine the extent to which patients at high risk of hospital death who undergo cardiopulmonary resuscitation (CPR) have previously had their life support preferences addressed and documented. MATERIALS AND METHODS:We conducted a retrospective chart review of all patients o...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/s0883-9441(97)90026-5

    authors： Kernerman P,Cook DJ,Griffith LE

    更新日期：1997-12-01 00:00:00

  • Mean arterial pressure and mean perfusion pressure deficit in septic acute kidney injury.

    abstract：BACKGROUND:Changes in mean perfusion pressure (MPP) from premorbid resting values may contribute to the progression of septic acute kidney injury (AKI). OBJECTIVES:In patients with septic shock, we aimed to investigate the association of changes from premorbid values with AKI severity and progression. METHODS:We obta...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.05.003

    authors： Wong BT,Chan MJ,Glassford NJ,Mårtensson J,Bion V,Chai SY,Oughton C,Tsuji IY,Candal CL,Bellomo R

    更新日期：2015-10-01 00:00:00

  • Hypotensive resuscitation in a head-injured multi-trauma patient.

    abstract：:The concept of permissive hypotension is a controversial topic in trauma care. While driving blood pressure to "normal" levels with large volume crystalloid infusions is not appropriate, definitive data on the target blood pressure for hypotensive resuscitation are lacking. Indeed, the concept of systolic blood pressu...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2013.11.017

    authors： Tobin JM,Dutton RP,Pittet JF,Sharma D

    更新日期：2014-04-01 00:00:00