tailieunhanh - Báo cáo y học: "Recently published papers: small pieces of the puzzle and the long-term view"

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 y học đề tài: Recently published papers: small pieces of the puzzle and the long-term view. | Critical Care June 2003 Vol 7 No 3 Ball Commentary Recently published papers small pieces of the puzzle and the long-term view Jonathan Ball Specialist Registrar in Thoracic and General Medicine St George s Hospital London UK Correspondence Jonathan Ball jball@ Published online 8 May 2003 Critical Care 2003 7 214-216 DOI cc2328 This article is online at http content 7 3 214 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Keywords body mass index polyneuropathy resuscitation sepsis steroids The past 2 months has seen dramatic world events with the escalating threat of a global SARS severe acute respiratory syndrome epidemic and a war in Iraq beamed live into our daily lives. The weekly medical journals have covered these events and contributed to the debates surrounding them. These events have are and will continue to impact on the working lives of critical practitioners worldwide and come as additional burdens. Reports In this same period a number of long-awaited reports and important new studies have been published. The reports from the 2001 International Sepsis Definitions Conference 1 the January 2002 US National Heart Lung and Blood Institute Future Research Directions in Acute Lung Injury 2 and the 2002 Brussels roundtable Surviving Intensive Care 3 have all finally reached print. Although much contained within these stock takes will be familiar they serve as valuable and timely summaries. The only concern I have is that the delay in their publication negates some of the momentum that such expert panels should generate. Sepsis To complement the deliberations of the Sepsis Definitions Conference Martin and colleagues 4 reported on their major epidemiological study of sepsis in the USA conducted from 1979 to 2000. The overall picture presented confirms that the incidence has tripled but the mortality rate has fallen from 28 to 18 over the 22 years. The proportion of patients with any organ failure increased from