tailieunhanh - Báo cáo y học: "Results from the national sepsis practice survey: predictions about mortality and morbidity and recommendations for limitation of care orders"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Results from the national sepsis practice survey: predictions about mortality and morbidity and recommendations for limitation of care orders. | Available online http content 13 3 R96 Open Access Research Results from the national sepsis practice survey predictions about mortality and morbidity and recommendations for limitation of care orders James M O Brien Jr1 Scott KAberegg1 Naeem A Ali1 Gregory B Diette2 and Stanley Lemeshow3 1 Division of Pulmonary Allergy Critical Care and Sleep Medicine Center for Critical Care Department of Internal Medicine The Ohio State University Medical Center 201 Davis HLRI 473 West 12thAvenue Columbus OH 43210 USA 2Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Johns Hopkins School of Medicine 1830 East Monument 5th Floor Baltimore MD 21205 USA 3College of Public Health The Ohio State University 320 West 10thAvenue M-116 Starling-Loving Hall Columbus OH 43210 USA Corresponding author James M O Brien Received 24 Mar 2009 Revisions requested 17 Apr 2009 Revisions received 19 May 2009 Accepted 23 Jun 2009 Published 23 Jun 2009 Critical Care 2009 13 R96 doi cc7926 This article is online at http content 13 3 R96 2009 O Brien Jr et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Critically ill patients and families rely upon physicians to provide estimates of prognosis and recommendations for care. Little is known about patient and clinician factors which influence these predictions. The association between these predictions and recommendations for continued aggressive care is also understudied. Methods We administered a mail-based survey with simulated clinical vignettes to a random sample of the Critical Care Assembly of the American Thoracic Society. Vignettes represented a patient with septic shock with multi-organ failure