[JAMA Intern Med发表述评]:需要随机临床试验显示用于肿瘤筛查的血液检测能否降低全因病死率已关闭评论
Editorial
August 28, 2023
The Need for Randomized Clinical Trials Demonstrating Reduction in All-Cause Mortality With Blood Tests for Cancer Screening
Sanket S. Dhruva, Rebecca Smith-Bindman, Rita F. Redberg
JAMA Intern Med. 2023;183(10):1051-1053. doi:10.1001/jamainternmed.2023.3610
In recent years, blood tests that look for circulating tumor DNA and biomarkers (termed liquid biopsies) have been developed. As Carr and Welch describe in this issu...
阅读全文
[ICU Management & Practice]: ICU中脓毒症相关急性肾损伤已关闭评论
Sepsis-Associated Acute Kidney Injury in the ICU
Sepsis is a frequently encountered condition that leads to severe illness and is associated with significant morbidity and mortality. It is commonly accompanied by acute kidney injury (AKI), known as sepsis-associated acute kidney injury (SA-AKI). The relationship between sepsis and AKI has been investigated in prior studies. However, the absence of a consistent and standardised definition has hindered the interpreta...
阅读全文
[JAMA发表论文]:GLP-1受体激动剂用于减重的胃肠道不良事件风险已关闭评论
Research Letter
October 5, 2023
Risk of Gastrointestinal Adverse Events Associated With Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss
Mohit Sodhi, Ramin Rezaeianzadeh, Abbas Kezouh, et al
JAMA. Published online October 5, 2023. doi:10.1001/jama.2023.19574
Glucagon-like peptide 1 (GLP-1) agonists are medications approved for treatment of diabetes that recently have also been used off label for we...
阅读全文
[Lancet Neurol发表论文]:神经学瞳孔指数预测急性脑损伤患者的预后已关闭评论
ARTICLES| VOLUME 22, ISSUE 10, P925-933, OCTOBER 2023Download Full Issue
The Neurological Pupil index for outcome prognostication in people with acute brain injury (ORANGE): a prospective, observational, multicentre cohort study
Mauro Oddo, Fabio S Taccone, Matteo Petrosino, et al
Lancet Neurol 2023; 22: 925-933 Published:August 28, 2023
DOI:https://doi.org/10.1016/S1474-4422(23)00271-5
Summary
Background
Improving the prognostication o...
阅读全文
[JAMA New Open发表论文]:肥胖替代指标与死亡率已关闭评论
Original Investigation
Diabetes and Endocrinology
September 20, 2023
Surrogate Adiposity Markers and Mortality
Irfan Khan, Michael Chong, Ann Le, et al
JAMA Netw Open. 2023;6(9):e2334836. doi:10.1001/jamanetworkopen.2023.34836
Key Points
Question Among body mass index, fat mass index, and waist-to-hip (WHR) ratio, what is the optimal adiposity measure with the strongest association with mor...
阅读全文
[JAMA发表论文]:eGFR,蛋白尿与不良预后已关闭评论
Original Investigation
October 3, 2023
Estimated Glomerular Filtration Rate, Albuminuria, and Adverse Outcomes: An Individual-Participant Data Meta-Analysis
Writing Group for the CKD Prognosis Consortium
JAMA. 2023;330(13):1266-1277. doi:10.1001/jama.2023.17002
Key Points
Question Are lower values for estimated glomerular filtration rate (eGFR based on either creatinine alone or creatinine and cystatin C) and more severe a...
阅读全文
[ICU Management & Practice]: 心脏不停跳冠脉搭桥术中的氧疗已关闭评论
Intraoperative Oxygen Administration in OPCAB
Maintaining adequate oxygen delivery (DO2) to peripheral tissues during surgery is crucial, as factors like acute blood loss or fluid shifts can threaten oxygen supply. Surgery patients often receive higher fractions of inspired oxygen (FiO2) to ensure sufficient oxygen and perfusion. However, this practice can lead to supraphysiological oxygen levels, resulting in oxidative stress, vasoconstriction, and microcirculator...
阅读全文
[JAMA发表论文]:CPAP治疗依从性与复发性心血管事件的风险已关闭评论
Original Investigation
October 3, 2023
Adherence to CPAP Treatment and the Risk of Recurrent Cardiovascular Events: A Meta-Analysis
Manuel Sánchez-de-la-Torre, Esther Gracia-Lavedan, Ivan D. Benitez, et al
JAMA. 2023;330(13):1255-1265. doi:10.1001/jama.2023.17465
Key Points
Question Is continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA) associated with a decreased risk of cardiovascular advers...
阅读全文
[NEJM发表论文]:可变危险因素对心血管疾病及死亡率的全球影响已关闭评论
ORIGINAL ARTICLE
Global Effect of Modifiable Risk Factors on Cardiovascular Disease and Mortality
The Global Cardiovascular Risk Consortium
N Engl J Med 2023; 389:1273-1285DOI: 10.1056/NEJMoa2206916
Abstract
BACKGROUND
Five modifiable risk factors are associated with cardiovascular disease and death from any cause. Studies using individual-level data to evaluate the regional and sex-specific prevalence of the risk factors and their effect on these outcom...
阅读全文
[JAMA发表论文]:急性卒中患者的远处缺血预处理已关闭评论
Original Investigation
October 3, 2023
Remote Ischemic Conditioning for Acute Stroke: The RESIST Randomized Clinical Trial
Rolf Ankerlund Blauenfeldt, Niels Hjort, Jan Brink Valentin, et al
JAMA. 2023;330(13):1236-1246. doi:10.1001/jama.2023.16893
Key Points
Question Does combined prehospital and in-hospital remote ischemic conditioning (RIC) improve functional outcome in patients with acute ischemic stroke or intracerebral hem...
阅读全文