[ICU Management & Practice]: 脓毒症发病时机与病死率和医院负担相关已关闭评论
Sepsis Onset Timing Linked to Mortality and Hospital Burden
In Sepsis
Tue, 10 Mar 2026
Sepsis remains a major cause of hospital mortality and prolonged admission, placing sustained pressure on clinical teams and hospital resources. The timing of sepsis onset during hospitalisation influences both detection and outcomes. Community-onset sepsis (COS), identified early in admission, and hospital-onset sepsis (HOS), developing later in a hospital stay, ref...
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[JAMA Surg发表论文]:是否采用早期经肠道营养已关闭评论
Invited Commentary
To Tube or Not to Tube—A Case for Early Enteral Nutrition
Yuqi Zhang, Krista Haines, Suresh Agarwal
JAMA Surg Published Online: April 22, 2026
doi: 10.1001/jamasurg.2026.1058
The early introduction of enteral feeding after surgery is well recognized as a cornerstone of Enhanced Recovery After Surgery (ERAS) protocols, consistently shown to reduce postoperative infections and mortality across multiple surgical domains. Although prior...
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[JAMA发表述评]:治疗金黄色葡萄球菌菌血症的新路径已关闭评论
Editorial
New Pathways to Treat Staphylococcus aureus Bacteremia: Connecting the DOTS
Erin K. McCreary, Preeti N. Malani
JAMA 2025;334;(10):861-863. doi:10.1001/jama.2025.13717
Staphylococcus aureus bacteremia is a leading cause of infection-related death worldwide.1 Roughly 30% of patients who develop S aureus bacteremia will die within a year of index culture, yet relatively few randomized clinical trials have evaluated optimal antibiotic therapy.2 Con...
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[ICU Management & Practice]: 外科ICU中报警疲劳与同情疲劳的相关性已关闭评论
Alarm Fatigue Linked to Compassion Fatigue in Surgical ICUs
In ICU
Tue, 14 Oct 2025
Intensive care units rely on dense constellations of monitors, ventilators and infusion devices that generate frequent alarms to protect patients. Persistent exposure to these sounds can desensitise clinicians and reduce responsiveness, a phenomenon described as alarm fatigue. In parallel, sustained emotional demands and exposure to suffering can erode the capacit...
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[JAMA Intern Med发表述评]:针对多重耐药的粪菌移植已关闭评论
Invited Commentary
Fecal Microbiota Transplant for Multidrug Resistance—No Benefit Without Disruption?
Brendan J. Kelly, Michael H. Woodworth, Jennie H. Kwon
JAMA Intern Med Published Online: April 20, 2026
doi: 10.1001/jamainternmed.2026.0668
Fecal microbiota transplant (FMT) has transformed the medical treatment of recurrent Clostridium difficile infection (R-CDI). An explosion of randomized clinical trials during the 2010s demonstrated the effectiv...
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[JAMA发表述评]:肺移植治疗肺癌:危险与希望已关闭评论
Editorial
New Lungs for Lung Cancer—Perils and Promises
Ece Cali Daylan, Ramaswamy Govindan
JAMA Published Online: July 8, 2026
doi: 10.1001/jama.2026.11478
Despite the recent advances in systemic therapy, survival for patients with metastatic non–small cell lung cancer (NSCLC) without actionable genomic alterations in the tumor is limited.1 A small subset of patients with NSCLC have lung-only metastatic disease and often die of progressive lung failu...
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[JAMA发表述评]:抗生素耐药快速检测的多国临床试验:快就是好吗?已关闭评论
Editorial
A Multinational Trial of Rapid Antimicrobial Susceptibility Testing: Is FASTer Better?
Arjun Srinivasan
JAMA Published Online: April 18, 2026
doi: 10.1001/jama.2026.5504
Selecting the right antibiotic to treat an infection is the cornerstone of effective antibacterial therapy and lifesaving in severe infections.1 The growing epidemic of antimicrobial resistance is making decisions about empiric treatment increasingly difficult and elevating ...
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[ICU Management & Practice]: 深度学习模型预测再次收入ICU已关闭评论
Deep Learning Models for ICU Readmission Prediction
In ICU
Tue, 21 Oct 2025
The decision to discharge patients from the ICU is complex, as premature discharge increases the risk of readmission and mortality, while delayed discharge raises healthcare costs. ICU readmission is associated with over twice the mortality risk, longer hospital stays, greater morbidity, and higher resource use. Several predictive models, such as SWIFT, APACHE II and III, and S...
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[JAMA Netw Open发表述评]:大语言模型在临床诊断推理方面的局限性已关闭评论
Invited Commentary
Health Informatics
Limitations of Large Language Models in Clinical Diagnostic Reasoning
Mickael Tordjman, Xueyan Mei
JAMA Netw Open 2026;9;(4):e264014. doi:10.1001/jamanetworkopen.2026.4014
Large language models (LLMs) have rapidly gained an important role in multiple fields, including medicine. These widely available tools can enhance patient understanding, improve physician productivity, and provide encyclopedic knowledge on seve...
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[ICU Management & Practice]: 接收ECMO治疗的ARDS患者的肺循环轨迹已关闭评论
Pulmonary Haemodynamic Trajectories in ECMO-Supported ARDS
In ICU
Wed, 4 Mar 2026
A recent study investigated the prevalence, determinants, and prognostic implications of pulmonary hypertension (PH) in patients with acute respiratory distress syndrome (ARDS) supported with veno-venous extracorporeal membrane oxygenation (V-V ECMO). PH, defined as a mean pulmonary artery pressure (mPAP) greater than 20 mmHg, is a recognised complication of ARDS and cont...
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