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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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[JAMA Surg发表论文]:根据EMS指南治疗接受正压通气的颅脑创伤患者已关闭评论
Original Investigation  January 24, 2024 EMS Treatment Guidelines in Major Traumatic Brain Injury With Positive Pressure Ventilation Joshua B. Gaither, Daniel W. Spaite, Bentley J. Bobrow, et al JAMA Surg. 2024;159(4):363-372. doi:10.1001/jamasurg.2023.7155 Key Points Question  Did implementation of the prehospital traumatic brain injury (TBI) evidence-based guidelines impact survival among patients with ...
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[JAMA发表论文]:脓毒症前心脏功能与临床预后已关闭评论
Research Letter  April 8, 2024 Cardiac Function Before Sepsis and Clinical Outcomes Stuthi Iyer, Jason N. Kennedy, Jacob C. Jentzer, et al JAMA. 2024;331(17):1496-1499. doi:10.1001/jama.2024.3917 Between 2009 and 2014, 21% of US adults with sepsis did not survive.1 Guidelines recommend urgent resuscitation of patients with sepsis, although the ideal treatment regimen is not clear2 and challenges to...
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[ICU Management & Practice]: 采用分子表型提升ARDS的精准治疗已关闭评论
Molecular Phenotypes to Advance Precision Care in ARDS In ICU Tue, 9 Apr 2024 The heterogeneity of acute respiratory distress syndrome (ARDS) has played a role in hindering successful pharmacotherapy in clinical trials. To address this, researchers have identified two molecular phenotypes of ARDS - hypoinflammatory and hyperinflammatory - through latent class analysis (LCA) applied to protein biomarkers and clinical data across various cohorts. These p...
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[JAMA Intern Med发表论文]:急诊科进行快速呼吸道病毒检测的临床结局已关闭评论
Original Investigation  Less Is More March 4, 2024 Clinical Outcomes of Rapid Respiratory Virus Testing in Emergency Departments: A Systematic Review and Meta-Analysis Tilmann Schober, Kimberly Wong, Gaëlle DeLisle, et al JAMA Intern Med. 2024;184(5):528-536. doi:10.1001/jamainternmed.2024.0037 Key Points Question  Is rapid testing for respiratory viruses associated with patient treatment in the emerge...
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[JAMA发表论文]:内科住院医师里程碑评价及医师资格考试分数与患者预后的相关性已关闭评论
Original Investigation  May 6, 2024 Associations of Internal Medicine Residency Milestone Ratings and Certification Examination Scores With Patient Outcomes Bradley M. Gray, Jonathan L. Vandergrift, Jennifer P. Stevens, et al JAMA. Published online May 6, 2024. doi:10.1001/jama.2024.5268 Key Points Question  Internal medicine residents’ competency is evaluated with milestone ratings and the Amer...
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[JAMA Intern Med发表述评]:改进重症医疗质量与安全—中心静脉导管的挑战与对策已关闭评论
Invited Commentary  March 4, 2024 Enhancing Quality and Safety in Critical Care—Challenges and Strategies for Central Venous Catheters Elie A. Saade, Francis T. Lytle, Peter J. Pronovost JAMA Intern Med. 2024;184(5):482-483. doi:10.1001/jamainternmed.2023.8243 related articles icon  Related  Articles Central venous catheters (CVCs) are widely used in US critical care settings, providing essential functions such as medication ad...
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[JAMA Intern Med发表论文]:中心静脉插管的并发症发生率已关闭评论
Original Investigation  March 4, 2024 Complication Rates of Central Venous Catheters: A Systematic Review and Meta-Analysis Bijan Teja, Nicholas A. Bosch, Calvin Diep, et al JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainternmed.2023.8232 Key Points Question  What are the rates of complications from central venous catheter (CVC) use? Findings  This systematic review and meta-analysis...
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[JAMA发表述评]:皮肤消毒剂预防手术部位感染:对全球外科的提示已关闭评论
Editor's Note  June 17, 2024 Skin Antisepsis to Prevent Surgical Site Infections: Implications for Global Surgery Anthony Charles, Preeti N. Malani JAMA. Published online June 17, 2024. doi:10.1001/jama.2024.9622 Surgical site infections (SSIs) are the most common health care–associated infection. Often preventable, SSIs are associated with substantial morbidity and mortality as well as prolonged hospitalizations and readmissions, and these i...
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[JAMA发表论文]:碘伏或氯己定用于术前皮肤消毒已关闭评论
Original Investigation  June 17, 2024 Povidone Iodine vs Chlorhexidine Gluconate in Alcohol for Preoperative Skin Antisepsis: A Randomized Clinical Trial Andreas F. Widmer, Andrew Atkinson, Stefan P. Kuster, et al JAMA. Published online June 17, 2024. doi:10.1001/jama.2024.8531 Key Points Question  Is preoperative skin antisepsis with povidone iodine in alcohol noninferior to chlorhexidine gluconate in alcohol to prevent surgical...
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