Neutrophil gelatinase-associated lipocalin series has the best diagnostic accuracy for the prediction of acute kidney injury, regardless of whether they were adjusted by urinary creatinine, finds a study published in Crit_Care.
The authors acknowledge the administrative support of the Chang Gung Memorial Hospital Clinical Trial Center—which is funded by the Taiwanese Ministry of Health and Welfare . The authors thank Shu-Chen Yu, Zi-Ming Chen, all participants of NSARF and CAKs/TCTC. We also thank Alfred Hsing-Fen Lin who serves in Raising Statistics Consultant Inc. for his statistical assistance during the completion of this manuscript.
Division of Nephrology, Department of Internal Medicine, Camillian Saint Mary’s Hospital Luodong, Yilan, TaiwanSaint Mary’s Junior College of Medicine, Nursing and Management, Yilan, 26546, TaiwanDivision of Nephrology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, TaiwanDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, TaiwanDivision of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung,...
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Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES) - World Journal of Emergency SurgeryBackground Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe isolated TBI patients who do not have immediate access to neurosurgical care. Methods A multidisciplinary consensus panel composed of 41 physicians selected for their established clinical and scientific expertise in the acute management of TBI patients with different specializations (anesthesia/intensive care, neurocritical care, acute care surgery, neurosurgery and neuroradiology) was established. The consensus was endorsed by the World Society of Emergency Surgery, and a modified Delphi approach was adopted. Results A total of 28 statements were proposed and discussed. Consensus was reached on 22 strong recommendations and 3 weak recommendations. In three cases, where consensus was not reached, no recommendation was provided. Conclusions This consensus provides practical recommendations to support clinician’s decision making in the management of isolated severe TBI patients in centers without neurosurgical capabilities and during transfer to a hub center.
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Man in critical condition after being hit by two cars that failed to stopPolice are appealing to the public and want to speak to the drivers of an Audi and a ZipCar that fled the scene.
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Person in critical condition as two others injured in serious M66 crash - liveRead everything we know so far on the two-car crash on the M66 tonight in the blog below. Three people sustained injuries, with one in a critical condition in hospital. The northbound carriageway is expected to be closed for 'several hours'.
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Lincolnshire 'geriatric mum' tackling critical commentsLincolnshire ‘geriatric mum’ tackling critical comments
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Trust 'working hard' on maternity services at Nottingham hospitalsThe Care Quality Commission has released a survey examining the experience of patients who have received care from Nottingham's maternity services.
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