Article Published: 28 April 2025 Artificial intelligence based multispecialty mortality prediction models for septic shock in a multicenter retrospective study Shurui Wang, Xinyi Liu, Shaohua Yuan, et al npj Digital Medicine volume 8, Article number: 228 (2025) Abstract Septic shock is one of the most lethal conditions in ICU, and early risk prediction may help reduce mortality. We developed a TOPSIS-based Classification Fusion (TCF) model to pred...

Original Investigation  Anesthesiology May 2, 2025 Hospital and Clinician Practice Variation in Cardiac Surgery and Postoperative Acute Kidney Injury Michael R. Mathis, Graciela B. Mentz, Jie Cao, et al JAMA Netw Open. 2025;8(5):e258342. doi:10.1001/jamanetworkopen.2025.8342 Key Points Question  Are specific hospital- and clinician-level operating room practices important factors in interhosp...

Blood Lactate Levels: Past, Present and Future In ICU Wed, 19 Mar 2025 At the opening session at ISICEM Congress in Brussels, Prof Jan Bakker talked about the past, present and future of blood lactate levels.  Lactate has long been recognised as a crucial biomarker in critical care, particularly in the assessment of circulatory failure and shock. The late Dr Max Harry Weil contributed significantly to this field, emphasising that an elevated lactate...

Original Investigation  March 6, 2025 Butter and Plant-Based Oils Intake and Mortality Yu Zhang, Katia S. Chadaideh, Yanping Li, et al JAMA Intern Med. 2025;185(5):549-560. doi:10.1001/jamainternmed.2025.0205 Key Points Question  What are the associations of long-term intakes of butter and plant-based oils with mortality in the US population? Findings  In this cohort study of 221 054 adults f...

Editorial  May 2, 2025 Triage, the Tip of the Shears N. Seth Trueger, Ari B. Friedman JAMA Netw Open. 2025;8(5):e258508. doi:10.1001/jamanetworkopen.2025.8508 In this issue of JAMA Network Open, Sax and colleagues1 analyze the association of triage accuracy for emergency department (ED) patients with 3 critical diagnoses with time-dependent interventions: ST-elevation myocardial infarction (STEMI), subarachnoid hemorrhage (SAH), and aort...

Original Investigation  March 17, 2025 Nudging Clinicians to Promote Serious Illness Communication for Critically Ill Patients: A Pragmatic Cluster Randomized Trial  Katherine R. Courtright, Jaspal Singh, Erich M. Dress, et al JAMA Intern Med. 2025;185(5):510-520. doi:10.1001/jamainternmed.2025.0090 Key Points Question  Does nudging intensive care unit (ICU) clinicians to adhere to communication guid...

Burnout in the ICU – Still a Work in Progress In ICU Mon, 10 Mar 2025 ICU Management & Practice, Volume 25 - Issue 1, 2025 Burnout of the healthcare workforce, and particularly of critical care clinicians, is an active global concern, which has been exacerbated by the COVID-19 pandemic. We present the definition and factors contributing to burnout specifically in the ICU, discuss the misconceptions around the use of burnout measurement tools, and hi...

Original Investigation  May 5, 2025 Physician- and Large Language Model–Generated Hospital Discharge Summaries Christopher Y. K. Williams, Charumathi Raghu Subramanian, Syed Salman Ali, et al JAMA Intern Med. Published online May 5, 2025. doi:10.1001/jamainternmed.2025.0821 Key Points Question  Can large language models (LLMs) draft hospital discharge summary narratives of comparable quality and...

Original Investigation  Emergency Medicine May 2, 2025 Emergency Department Triage Accuracy and Delays in Care for High-Risk Conditions Dana R. Sax, E. Margaret Warton, Dustin G. Mark, et al JAMA Netw Open. 2025;8(5):e258498. doi:10.1001/jamanetworkopen.2025.8498 Key Points Question  Is there an association between emergency department (ED) triage accuracy and timeliness of care among patient...

Article A consensus of European experts on the definition of ventilator-associated pneumonia recurrences obtained by the Delphi method: the RECUVAP study Antoine Gaillet, Charles-Edouard Luyt, Jean-Francois Timsit, et al Intensive Care Med 2025; 51: 506-517 Abstract Background There are recognized diagnostic criteria for a first ventilator-associated pneumonia (VAP) episode, but not for recurrences. Many randomized clinical trials (RCTs) have used the re...