[JAMA发表论文]:人群中心血管生物标志物的预后价值已关闭评论
Original Investigation
May 13, 2024
Prognostic Value of Cardiovascular Biomarkers in the Population
Johannes Tobias Neumann, Raphael Twerenbold, Jessica Weimann, et al
JAMA. Published online May 13, 2024. doi:10.1001/jama.2024.5596
Key Points
Question What is the value of cardiovascular biomarkers when added to established risk factors to predict incident cardiovascular events in the populatio...
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[JAMA发表论文]:2017年至2022年间执法查获的伪造处方药片成分分析已关闭评论
Research Letter
May 6, 2024
Substances in Counterfeit Prescription Pills Seized by Law Enforcement, 2017-2022
Rachel S. Wightman, Thomas Chadronet, Bryan Volpe, et al
JAMA. Published online May 6, 2024. doi:10.1001/jama.2024.6161
Counterfeit prescription pills are designed to replicate legitimate pharmaceutical pills in appearance and pharmacologic effects. However, the pharmacology of the active ingredient...
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[JAMA Netw Open发表论文]:轻度脑病新生儿的全身低体温与目标性正常体温已关闭评论
Original Investigation
Pediatrics
May 6, 2024
Whole-Body Hypothermia vs Targeted Normothermia for Neonates With Mild Encephalopathy: A Multicenter Pilot Randomized Clinical Trial
Paolo Montaldo, Mario Cirillo, Constance Burgod, et al
JAMA Netw Open. 2024;7(5):e249119. doi:10.1001/jamanetworkopen.2024.9119
Key Points
Question Does whole-body hypothermia initiated within 6 hours of birth and ...
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[ICU Management & Practice]: 修改ICU设计可能影响谵妄的发生已关闭评论
Modification in ICU Design May Affect Delirium
In ICU
Tue, 9 Apr 2024
Delirium is a common psychiatric syndrome in critically ill patients, associated with high mortality rates and long-term cognitive decline. Recent trials on medication-based treatments have not shown significant benefits, leading to a shift towards nonpharmacologic approaches.
The Society of Critical Care Medicine recommends comprehensive interventions, including reorientati...
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[JAMA Netw Open发表论文]:采用大语言模型评估急诊科成年患者的临床急性程度已关闭评论
Original Investigation
Emergency Medicine
May 7, 2024
Use of a Large Language Model to Assess Clinical Acuity of Adults in the Emergency Department
Christopher Y. K. Williams, Travis Zack, Brenda Y. Miao, et al
JAMA Netw Open. 2024;7(5):e248895. doi:10.1001/jamanetworkopen.2024.8895
Key Points
Question Can a large language model (LLM) accurately assess clinical acuity in the emergency depar...
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[JAMA Netw Open发表论文]:儿科ICU中细支气管炎的呼吸支持治疗实践已关闭评论
Original Investigation
Pediatrics
May 10, 2024
Respiratory Support Practices for Bronchiolitis in the Pediatric Intensive Care Unit
Jonathan H. Pelletier, Danielle E, Maholtz, Claire M. Hanson, et al
JAMA Netw Open. 2024;7(5):e2410746. doi:10.1001/jamanetworkopen.2024.10746
Key Points
Question Are changes in high-flow nasal cannula (HFNC) and noninvasive ventilation (NIV) use associated wit...
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[JAMA Surg发表述评]:实施指南改善创伤诊疗已关闭评论
Invited Commentary
January 24, 2024
Guideline Implementation Is Improving Trauma Care in the Wild, Wild West
Jeffrey K. Jopling, Lisa M. Kodadek, Elliott R. Haut
JAMA Surg. 2024;159(4):372-373. doi:10.1001/jamasurg.2023.7154
Acore tenet in the care of patients with brain injury is prevention of secondary brain injury. In the immediate postinjury period, the patient’s physiology must be carefully managed to adequately perfuse and oxygenate the brain. M...
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[ICU Management & Practice]: 颅脑创伤后的早期全身性损伤已关闭评论
Early Systemic Insults Following Traumatic Brain Injury
In ICU
Tue, 9 Apr 2024
Traumatic brain injury (TBI) is a major cause of death and disability globally, with outcomes heavily influenced by both the severity of the initial injury and subsequent secondary injury mechanisms. Systemic insults (SIs), such as hypoxaemia and hypotension, can worsen outcomes by exacerbating the cascade of events following the initial damage.
Previous studies have high...
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[JAMA Netw Open发表论文]:内科住院患者静脉血栓栓塞的风险评估模型已关闭评论
Original Investigation
Cardiology
May 10, 2024
Risk Assessment Models for Venous Thromboembolism in Medical Inpatients
Emmanuel Häfliger, Basil Kopp; Pauline Darbellay Farhoumand, et al
JAMA Netw Open. 2024;7(5):e249980. doi:10.1001/jamanetworkopen.2024.9980
Key Points
Question What is the prognostic performance of the simplified Geneva score and other validated risk assessment models (RAMs...
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[JAMA Intern Med发表述评]:急诊科谨慎使用快速病毒检测已关闭评论
Editor's Note
March 4, 2024
Judicious Use of Rapid Viral Tests in Emergency Departments
Lona Mody
JAMA Intern Med. 2024;184(5):537. doi:10.1001/jamainternmed.2024.0044
Acute viral illnesses are common, pervasive, and burdensome to patients, families, and health care systems.1Patients often present to emergency departments (EDs), which is followed by extensive diagnostic investigations, such as blood tests, cultures, chest radiography, and computed tom...
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