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Mashup Score: 4Cardiac Surgery-Associated Acute Kidney Injury in Neonates... : Pediatric Critical Care Medicine - 3 day(s) ago
ysis of the Neonatal and Pediatric Heart and Renal Outcomes Network (NEPHRON) multicenter cohort who underwent S1P. Using neonatal modification of Kidney Disease Improving Global Outcomes (KDIGO) criteria, perioperative associations between CS-AKI with morbidity and mortality were examined. Sensitivity analysis, with the exclusion of prophylactic peritoneal dialysis (PD) patients, was performed. SETTING: Twenty-two hospitals participating in the Pediatric Cardiac Critical Care Consortium (PC4) and contributing to NEPHRON. PATIENTS: Three hundred forty-seven neonates (< 30 d old) with S1P managed between September 2015 and January 2018. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Of 347 patients, CS-AKI occurred in 231 (67%). The maximum stages were as follows: stage 1, in 141 of 347 (41%); stage 2, in 51 of 347 (15%); and stage 3, in 39 of 347 (11%). Severe CS-AKI (stages 2 and 3) peaked on the first postoperative day. In multivariable analysis, preoperative feeding was associa
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Mashup Score: 5
An abstract is unavailable.
Source: journals.lww.comCategories: General Medicine News, PediatricsTweet
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Mashup Score: 4Clinical Full-Time Equivalent in PICUs: Survey of the U.S.... : Pediatric Critical Care Medicine - 3 day(s) ago
ivalent (cFTE) in PICUs across the U.S. Pediatric Critical Care Chiefs Network (PC3N). DESIGN: Cross-sectional survey. SETTING: PICUs participating in the PC3N. SUBJECTS: PICU division chiefs or designees participating in the PC3N from 2020 to 2022. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A series of three surveys were used to capture unit characteristics and clinical responsibilities for an estimated 1.0 cFTE intensivist. Out of a total of 156 PICUs in the PC3N, the response rate was 46 (30%) to all three distributed surveys. Respondents used one of four models to describe the construction of a cFTE—total clinical hours, total clinical shifts, total weeks of service, or % full-time equivalent. Results were stratified by unit size. The model used for construction of a cFTE did not vary significantly by the total number of faculty nor the total number of beds. The median (interquartile range) of clinical responsibilities annually for a 1.0 cFTE were: total clinical hours 175
Source: journals.lww.comCategories: General Medicine News, PediatricsTweet
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Mashup Score: 5From Pediatric Sepsis Epidemiologic Data to Improved... : Pediatric Critical Care Medicine - 3 day(s) ago
An abstract is unavailable.
Source: journals.lww.comCategories: General Medicine News, PediatricsTweet
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Mashup Score: 4Cardiac Surgery-Associated Acute Kidney Injury in Neonates... : Pediatric Critical Care Medicine - 4 day(s) ago
ysis of the Neonatal and Pediatric Heart and Renal Outcomes Network (NEPHRON) multicenter cohort who underwent S1P. Using neonatal modification of Kidney Disease Improving Global Outcomes (KDIGO) criteria, perioperative associations between CS-AKI with morbidity and mortality were examined. Sensitivity analysis, with the exclusion of prophylactic peritoneal dialysis (PD) patients, was performed. SETTING: Twenty-two hospitals participating in the Pediatric Cardiac Critical Care Consortium (PC4) and contributing to NEPHRON. PATIENTS: Three hundred forty-seven neonates (< 30 d old) with S1P managed between September 2015 and January 2018. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Of 347 patients, CS-AKI occurred in 231 (67%). The maximum stages were as follows: stage 1, in 141 of 347 (41%); stage 2, in 51 of 347 (15%); and stage 3, in 39 of 347 (11%). Severe CS-AKI (stages 2 and 3) peaked on the first postoperative day. In multivariable analysis, preoperative feeding was associa
Source: journals.lww.comCategories: General Medicine News, PediatricsTweet
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Mashup Score: 4Clinical Full-Time Equivalent in PICUs: Survey of the U.S.... : Pediatric Critical Care Medicine - 4 day(s) ago
ivalent (cFTE) in PICUs across the U.S. Pediatric Critical Care Chiefs Network (PC3N). DESIGN: Cross-sectional survey. SETTING: PICUs participating in the PC3N. SUBJECTS: PICU division chiefs or designees participating in the PC3N from 2020 to 2022. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A series of three surveys were used to capture unit characteristics and clinical responsibilities for an estimated 1.0 cFTE intensivist. Out of a total of 156 PICUs in the PC3N, the response rate was 46 (30%) to all three distributed surveys. Respondents used one of four models to describe the construction of a cFTE—total clinical hours, total clinical shifts, total weeks of service, or % full-time equivalent. Results were stratified by unit size. The model used for construction of a cFTE did not vary significantly by the total number of faculty nor the total number of beds. The median (interquartile range) of clinical responsibilities annually for a 1.0 cFTE were: total clinical hours 175
Source: journals.lww.comCategories: General Medicine News, PediatricsTweet
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Mashup Score: 5
An abstract is unavailable.
Source: journals.lww.comCategories: General Medicine News, PediatricsTweet
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Mashup Score: 5From Pediatric Sepsis Epidemiologic Data to Improved... : Pediatric Critical Care Medicine - 4 day(s) ago
An abstract is unavailable.
Source: journals.lww.comCategories: General Medicine News, PediatricsTweet
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Mashup Score: 4Operationalizing Appropriate Sepsis Definitions in Children ... : Pediatric Critical Care Medicine - 5 day(s) ago
s definition has been widely acknowledged; however, important considerations about less-resourced and more diverse settings pose challenges to its use globally. To improve applicability and relevance globally, the Pediatric Sepsis Definition Taskforce sought to develop a conceptual framework and rationale of the critical aspects and context-specific factors that must be considered for the optimal operationalization of future pediatric sepsis definitions. It is important to address challenges in developing a set of pediatric sepsis criteria which capture manifestations of illnesses with vastly different etiologies and underlying mechanisms. Ideal criteria need to be unambiguous, and capable of adapting to the different contexts in which children with suspected infections are present around the globe. Additionally, criteria need to facilitate early recognition and timely escalation of treatment to prevent progression and limit life-threatening organ dysfunction. To address these challeng
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Mashup Score: 3PICUJournalWatch - Best of the Year - 7 day(s) ago
Link: 2023 collection in Pubmed Link: PICUJournalWatch tweetorial Best of 2023 collection
Source: www.picujournalwatch.comCategories: General Medicine News, PediatricsTweet
RT @RobertCTasker: May 2024 @PedCritCareMed CICU – CS-AKI IN NORWOOD Cardiac Intensive Care: https://t.co/RcdVblDNN8 For @SCCM_Pediatric…