Diagnostic Accuracy of a Large Language Model (ChatGPT-4) for Patients Admitted to a Community Hospital Medical Intensive Care Unit: A Retrospective Case Study [0.03%]
大型语言模型（ChatGPT-4）在社区医院医疗重症监护室患者诊断中的准确性：一项回顾性病例研究
Jassimran Singh,Rhea Bohra,Vaibhavi Mukhtiar et al.
Jassimran Singh et al.
BackgroundThe future of artificial intelligence in medicine includes the use of machine learning and large language models to improve diagnostic accuracy, as a point-of-care tool, at the time of admission to an acute care hospital. The larg...
Hospital Safety-Net Burden and Outcomes of COVID-19 Hospitalizations in the US: Analysis of a National Multicenter Database [0.03%]
美国医院安全网负担及其新冠肺炎住院患者预后：一项全国多中心数据库分析
Titilope Olanipekun,Joseph Heaton,Temidayo Abe et al.
Titilope Olanipekun et al.
BackgroundSafety-net hospitals (SNH) provide care to a significant proportion of low-income, uninsured, and underserved populations disproportionately affected by the COVID-19 pandemic. We evaluated the impact of safety-net burden on outcom...
Do Sex Differences Matter in Cardiac Surgery-Associated Acute Kidney Injury? - A Narrative Review [0.03%]
性别差异会对心脏手术相关急性肾损伤产生影响吗？——综述
Maartina J P Oosterom-Eijmael,Sarah A van Eeghen,Yugeesh R Lankadeva et al.
Maartina J P Oosterom-Eijmael et al.
Cardiac surgery-associated acute kidney injury (CSA-AKI) is a common complication following cardiac surgery. Despite growing awareness of sexual dimorphism in cardiovascular and chronic kidney disease, little is known about sexual dimorphis...
Deep Needles and Shallow Veins. Ultrasound Estimation of Internal Jugular Mid-Vein and Posterior Wall Depth During Central Line Placement in Trendelenburg Position [0.03%]
深针浅 vein：Trendelenburg 体位下行中央静脉置管时超声评估颈内静脉中 vein 和后壁深度
Adewale Olayode,John Oropello,Atinuke Shittu et al.
Adewale Olayode et al.
BackgroundCentral line placement is a very common inpatient procedure and the internal jugular (IJ) vein is the most commonly accessed site. Complications associated with this procedure include pneumothorax, hemothorax and pain which may be...
Necrotising Lung Infections and Respiratory ECMO-Incidence and Outcome A Retrospective Cohort Study in Adult Patients [0.03%]
成人患者的呼吸机ECMO的坏死性肺感染和发生率及结局-回顾性队列研究
Jernej Berden,Milica Lukić,Rok Zbačnik et al.
Jernej Berden et al.
BackgroundNecrotizing lung infections (NLI) are rare yet severe complications of lower respiratory tract infections with high mortality. Due to their scarcity and varying severity, there are no specific guidelines on managing these entities...
Vitamin C Versus Placebo in Pediatric Septic Shock (VITACiPS) - A Randomised Controlled Trial [0.03%]
维生素C与安慰剂在儿童脓毒性休克中的对照研究（VITACiPS）-一项随机对照试验
Jhuma Sankar,Aravindhan Manoharan,Rakesh Lodha et al.
Jhuma Sankar et al.
Background: Intravenous vitamin C has been evaluated as an adjunctive therapy in adults with septic shock, with mixed results. In pediatric patients, evidence remains limited and its role is yet to be defined.MethodsIn th...
Integration of Respiratory Care Experts and Emerging Technologies in Critical Care Simulation [0.03%]
呼吸照护专家与新兴技术在重症监护模拟中的整合
Michelle S Rausen,Stephanie J Holst,Samantha P Davis
Michelle S Rausen
Respiratory Therapists (RTs) are indispensable members of the critical care team, yet their participation in the design and facilitation simulation-based training (SBT) remains significantly underrepresented. SBT provides healthcare profess...
Optimizing Blood Culture Draws Through Use of an Algorithm Can Reduce Utilization in a Community ICU [0.03%]
应用算法优化社区ICU的血培养取样可以减少血培养利用率
Nitin Mehdiratta,Erin Gettler,Vijay Krishnamoorthy et al.
Nitin Mehdiratta et al.
ObjectiveTo evaluate the implementation of a blood culture algorithm in a mixed medical-surgical ICU at a community hospital, and examine the association with blood culture utilization rate and patient outcomes.DesignA quasi-experimental st...
Pulse Oximetry Discrepancies and Occult Hypoxemia in ICU Patients: Predictors and Clinical Outcomes [0.03%]
重症监护病房患者脉搏氧饱和度不符和潜在性低氧血症的危险因素及预后研究
Saikou Saidy,Ali Iqbal,Saqib H Baig
Saikou Saidy
BackgroundPulse oximeters sometimes fail to accurately reflect arterial oxygen saturation (SaO2), particularly in darker-skinned patients resulting in undiagnosed hypoxemia, potentially delaying recognition and appropriate interventions.Res...
Sebastián Vásquez-García,Andrés M Rubiano,Kiwon Lee
Sebastián Vásquez-García
Neurocritical care management for severe brain injuries (SBI) has traditionally focused on intracranial pressure (ICP) and cerebral perfusion pressure (CPP) monitoring and treatment to prevent brain herniation and ischemia. However, the com...