Duggal,Year in review 2012_Critical Care_Management,Crit Care 2014

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1、DuggalandRubenfeldCriticalCare2013,17:250http://ccforum.com/content/17/6/250REVIEWYearinreview2012:CriticalCare –managementAbhijitDuggal*1andGordonRubenfeld2,3severecommunity-acquiredpneumoniaishamperednotAbstractonlybytheabsenceofauniquedefinitionforsevereOutcomesresearchplaysakeyroleindefini

2、ngthecommunity-acquiredpneumoniabutalsobytheeffectsofmedicalcareincriticalcare.LastyearCriticalinclusionofICUadmissionasavariableinthepredictionCarepublishedanumberofpapersthatevaluatedmodelinmanycases[3,4].Martiandcolleaguesstudiedpatient-centeredandpolicy-relevantoutcomes.We11differentpredic

3、tionscoresbasedon20variablestopresentthisreviewarticlefocusingonkeyreportedidentifycommunity-acquiredpneumoniapatientsoutcomesassociatedwithseverecommunity-acquiredrequiringICUadmission[5].Olderpredictionscorespneumonia,mortalityassociatedwithdecisions(PneumoniaSeverityIndexandCURB-65)werenot

4、regardingtriagetotheICU,andbothshort-termandsensitiveinidentifyingtheneedforICUadmission.long-termmortalityassociatedwithICUadmissions.NewergenerationpredictionrulessuchasthoseoftheWefurtheranalyzetheliterature,assessingoutcomesAmericanThoracicSociety/InfectiousDiseasesSocietysuchasqualityofl

5、ifeandthepsychologicalburdenofAmerica2007weremuchmorespecificinpredictingassociatedwithcriticalcare.WealsoreviewedtheneedforICUadmission.TheAmericanThoracicprocessesofcare,andstudieslookingatcostanalysisSociety/InfectiousDiseasesSocietyofAmerica2007oftreatmentassociatedwithcriticalcare.minorcr

6、iteriaalongwithnewerunvalidatedscoressuchasseverecommunity-acquiredpneumoniaperformedthebestandhadanareaunderthecurveof0.85inIntroductionpredictingICUadmission.AlthoughthenewpredictionUnlikeothermedicalresearch,keyvariablesevaluatingrulesperformedbetter,theirlackofspecifictestdisease,thepatien

7、tpopulationandtherapiesarehetero-characteristicstohelpinbedsidedecisionsforICUgeneousanddifficulttodefineincriticalcareresearchadmissionsmakestheiruselimitedinclinicalpractice[1].Withrespecttocriticalcareresearch,bothshort-[5].termoutcomesandlon