[BMJ发表论文]:新冠病毒感染2年后病情恢复与遗留症状已关闭评论
Research
Recovery and symptom trajectories up to two years after SARS-CoV-2 infection: population based, longitudinal cohort study
Tala Ballouz, Dominik Menges, Alexia Anagnostopoulos, et al
BMJ 2023; 381 doi: https://doi.org/10.1136/bmj-2022-074425 (Published 31 May 2023)Cite this as: BMJ 2023;381:e074425
Abstract
Objective To evaluate longer term symptoms and health outcomes associated with post-covid-19 condition within a cohort of individuals with ...
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[JAMA发表论文]:结果无统计学差异的随机临床试验有关缺乏疗效的证据已关闭评论
Original Investigation
June 20, 2023
Evidence of Lack of Treatment Efficacy Derived From Statistically Nonsignificant Results of Randomized Clinical Trials
Thomas Perneger, Angèle Gayet-Ageron
JAMA. 2023;329(23):2050-2056. doi:10.1001/jama.2023.8549
Key Points
Question Can a statistically nonsignificant result of a randomized clinical trial provide conclusive evidence of lack of effect of the new treatment?
Findings &nb...
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[JAMA发表述评]:延长β-内酰胺类抗生素输注时间能否改善脓毒症患者预后?已关闭评论
Editorial
June 16, 2023
Do Prolonged Infusions of β-Lactam Antibiotics Improve Outcomes in Critically Ill Patients With Sepsis?
Claire N. Shappell, Michael Klompas, Chanu Rhee
JAMA. Published online June 16, 2023. doi:10.1001/jama.2023.6483
There has been a concerted effort over the past 2 decades to improve sepsis outcomes by enhancing recognition of sepsis and decreasing the time to administration of appropriate antibiotics.1 Sepsis m...
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[NEJM发表论文]:采用视频喉镜或直接喉镜进行危重病患者的气管插管已关闭评论
ORIGINAL ARTICLE
Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults
Matthew E. Prekker, Brian E. Driver, Stacy A. Trent, et al
N Engl J Med June 16, 2023DOI: 10.1056/NEJMoa2301601
Abstract
BACKGROUND
Whether video laryngoscopy as compared with direct laryngoscopy increases the likelihood of successful tracheal intubation on the first attempt among critically ill adults is uncertain.
METHODS
In a multicenter, randomize...
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[JAMA发表论文]:持续或间断输注美罗培南治疗脓毒症患者已关闭评论
Original Investigation
Caring for the Critically Ill Patient
June 16, 2023
Continuous vs Intermittent Meropenem Administration in Critically Ill Patients With Sepsis: The MERCY Randomized Clinical Trial
Giacomo Monti, Nikola Bradić, Matteo Marzaroli, et al
JAMA. Published online June 16, 2023. doi:10.1001/jama.2023.10598
Key Points
Question Does continuous administration of meropenem reduce a composite of mortality and emerg...
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[NEJM发表论文]:血液透析滤过或血液透析对肾功能衰竭病死率的影响已关闭评论
ORIGINAL ARTICLE
Effect of Hemodiafiltration or Hemodialysis on Mortality in Kidney Failure
Peter J. Blankestijn, Robin W.M. Vernooij, Carinna Hockham, et al
N Engl J Med June 16, 2023DOI: 10.1056/NEJMoa2304820
Abstract
BACKGROUND
Several studies have suggested that patients with kidney failure may benefit from high-dose hemodiafiltration as compared with standard hemodialysis. However, given the limitations of the various published studies, additional d...
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[JAMA发表论文]:促进有关住院重症患者治疗目标沟通的措施已关闭评论
Original Investigation
Caring for the Critically Ill Patient
May 21, 2023
Intervention to Promote Communication About Goals of Care for Hospitalized Patients With Serious Illness: A Randomized Clinical Trial
J. Randall Curtis, Robert Y. Lee, Lyndia C. Brumback, et al
JAMA. 2023;329(23):2028-2037. doi:10.1001/jama.2023.8812
Key Points
Question Can a patient-specific, clinician-facing communication-priming intervention (Jumpst...
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[Lancet Infect Dis发表论文]:采用床旁CRP检测改进呼吸道疾病的抗生素使用已关闭评论
ARTICLES|ONLINE FIRST
Implementation of point-of-care testing of C-reactive protein concentrations to improve antibiotic targeting in respiratory illness in Vietnamese primary care: a pragmatic cluster-randomised controlled trial
Nga Thi Thuy Do, Tien Viet Dung Vu, Rachel C Greer, et al.
Lancet Infect Dis Published: May 22, 2023
DOI:https://doi.org/10.1016/S1473-3099(23)00125-1
Summary
Background
In previous trials, point-of-care testing of C-reactive...
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[NEJM发表论文]:房颤伴卒中患者早期与晚期抗凝已关闭评论
ORIGINAL ARTICLE
Early versus Later Anticoagulation for Stroke with Atrial Fibrillation
Urs Fischer, Masatoshi Koga, Daniel Strbian, et al
N Engl J Med May 24, 2023DOI: 10.1056/NEJMoa2303048
Abstract
BACKGROUND
The effect of early as compared with later initiation of direct oral anticoagulants (DOACs) in persons with atrial fibrillation who have had an acute ischemic stroke is unclear.
METHODS
We performed an investigator-initiated, open-label tria...
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Intensive Care Medicine在线免费阅读已关闭评论
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