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| 21. |
The answer to “What are my chances, Doctor?” depends on whom is askedPrognostic disagreement and inaccuracy for critically ill patients |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 827-833
ROY POSES,
CAROLYN BEKES,
FIORE COPARE,
WILLIAM SCOTT,
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摘要:
Physicians often must make prognostic judgments for critically ill patients, but we know little about how well they can perform this task. We prospectively measured disagreements among different physicians' quantitative prognostic judgments for 269 sequential admissions to an ICU, and evaluated the accuracy and discriminating ability of judgments made by different types of physicians. Many (44.7%) patients provoked one or more disagreements of at least 20 percentage points among the three possible pairings of physicians. Many patients whom one physician thought were certain to survive did not inspire such certainty in another of their doctors. The critical care attendings thought the chances of survival were ≤80% for 23, and between 81% and 95% for another 46 of 85 patients whom the patients' own attendings thought were certain to survive. There were some differences in the accuracy of the different physicians' estimates. All doctors showed excellent overall discriminating ability, but discriminated less well for postoperative patients. Lack of consensus about how to judge prognosis for critically ill patients may make it difficult to decide whom to admit to ICUs. These results underscore the need for valid predictive models to aid in decision-making for critically ill patients.
ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 22. |
Human rabiesClinical features, diagnosis, complications, and management |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 834-836
ZARIR UDWADIA,
FAROKH UDW ADIA,
SAROSH KATRAK,
DARAB DASTUR,
MALLIKA SEKHAR,
AJAY LALL,
ANJALI KUMTA,
BHURAJ SANE,
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摘要:
A case of rabies was treated with intensive medical support. This led to a prolongation of life to 25 days. The neurologic progression of the disease was monitored clinically and with serial EEG. This prolonged course enabled us to witness and manage a wide variety of unusual complications including the adult respiratory distress syndrome, hypothermia, myocarditis, and diabetes insipidus. This report documents the clinical features, diagnostic problems, complications, and management.
ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 23. |
Rupture of the left ventricle and interventricular septum by blunt trauma |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 837-838
WILLIAM PEVEC,
MOHAMMED EL-HILLEL,
DAVID McARDLE,
CHRISTOPHER WALSH,
ANDREW PEITZMAN,
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摘要:
We report a survivor of blunt trauma with rupture of the left ventricle and the interventricular septum. A review of the literature revealed no previous report of a survivor of this combination of nonpenetrating injuries, and only four previous survivors of left ventricular rupture due to blunt trauma.
ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 24. |
Is there a role for naloxone in the treatment of stroke? |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 839-840
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ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 25. |
Gastrointestinal complications of acute respiratory failureAnalogy between adult respiratory distress syndrome, gastrointestinal edema, and enteral feeding intolerance |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 841-842
&NA;,
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ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 26. |
Prognosis of Patients with Cirrhosis and Chronic Liver Disease Admitted to the Medical Intensive Care Unit |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 843-843
James Adams,
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PDF (91KB)
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ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 27. |
Relationship of Oxygen Delivery and Mixed Venous Oxygenation to Lactic Acidosis in Patients with Sepsis and Myocardial Infarction |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 844-844
I. McConachie,
J. Edwards,
P. Nightingale,
A. Mortimer,
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PDF (92KB)
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ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 28. |
Endotracheal Tube Occlusion Associated with the Use of Heat and Moisture Exchangers in the Intensive Care Unit |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 845-845
Bob Demers,
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PDF (172KB)
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ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 29. |
A Simple Calculation to Estimate Body Surface Area in Adults and Its Correlation with the Du Bois Formula |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 846-846
João Mattar,
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PDF (178KB)
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ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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| 30. |
Managing the Critical Care Unit |
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Critical Care Medicine,
Volume 17,
Issue 8,
1989,
Page 847-847
Marilyn Haupt,
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PDF (199KB)
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ISSN:0090-3493
出版商:OVID
年代:1989
数据来源: OVID
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