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critical care medicine 2017： Bigger Picture, Better Future

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Chinese Medical Journal 2017年第10期130卷 1135-1136页

作者： Xiang-Dong Guan Li Tong Department of critical care medicine The First Affiliated Hospital Sun Yat-sen University Guangzhou Guangdong 510080 China

A lot of new progress has been made in critical care medicine during 2016, including the new definition of Sepsis-3, the tburth revision of the SttrvivhTg Sepsis Guidelines presenting, increasing using of point-of-car... 详细信息

关键词： ARDS critical care medicine ECMO EGDT: Sepsis

21st century critical care medicine:An overview

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World Journal of critical care medicine 2024年第1期13卷 1-14页

作者： Smitesh Padte Vikramaditya Samala Venkata Priyal Mehta Sawsan Tawfeeq Rahul Kashyap Salim Surani Department of Research Global Remote Research Scholars ProgramSt.PaulMN 55104United States Department of Hospital medicine Cheshire Medical Center/Dartmouth HealthKeeneNH 03431United States Department of Research WellSpan HealthYorkPA 17403United States Department of Pulmonary&critical care medicine Mayo ClinicRochesterMN 55905United States Department of medicine&Pharmacology Texas A&M UniversityCollege StationTX 77843United States

critical care medicine in the 21st century has witnessed remarkable advancements that have significantly improved patient outcomes in intensive care units(ICUs).This abstract provides a concise summary of the latest developments in critical care,highlighting key areas of *** advancements in critical care include Precision medicine:Tailoring treatments based on individual patient characteristics,genomics,and biomarkers to enhance the effectiveness of *** objective is to describe the recent advancements in critical care ***:The integration of telehealth technologies for remote patient monitoring and consultation,facilitating timely *** intelligence(AI):AI-driven tools for early disease detection,predictive analytics,and treatment optimization,enhancing clinical *** Support:Advanced life support systems,such as Extracorporeal Membrane Oxygenation and Continuous Renal Replacement Therapy provide better organ *** Control:Innovative infection control measures to combat emerging pathogens and reduce healthcare-associated *** Strategies:Precision ventilation modes and lung-protective strategies to minimize ventilatorinduced lung *** Management:Early recognition and aggressive management of sepsis with tailored ***-Centered care:A shift towards patient-centered care focusing on psychological and emotional wellbeing in addition to medical *** conducted a thorough literature search on PubMed,EMBASE,and Scopus using our tailored strategy,incorporating keywords such as critical care,telemedicine,and sepsis management.A total of 125 articles meeting our criteria were included for qualitative *** ensure reliability,we focused only on articles published in the English language within the last two decades,excluding animal studies,in vitro/molecular studies,and non-original data like editorials,letters,protocols,and conference abs

关键词： critical care medicine Intensive care unit Precision medicine Telemedicine Artificial intelligence Organ support Sepsis Infection control Patient-centered care

Current status of China’s critical care medicine big data platform and future prospects

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Chinese Medical Journal 2021年第14期134卷 1684-1686页

作者： Long-Xiang Su Sheng-Jun Liu Xiang Zhou Mei-Li Duan Jian Liu Bin Ouyang Bing-Yu Qin Hong-Liang Wang Xue Wang Lei Xu Xiang-You Yu Fei-Hu Zhou Yun Long Department of critical care medicine State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Science&Peking Union Medical CollegeBeijing 100730China Department of Postdoctoral Residency Program Chinese Academy of Medical Science&Peking Union Medical CollegeBeijing 100730China Department of critical care medicine Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Department of critical care medicine The First Hospital of Lanzhou UniversityLanzhouGansu 730000China Department of critical care medicine The First Affiliated Hospital of Sun-YatSen HospitalGuangzhouGuangdong 510080China The Department of critical care medicine Henan Provincial People’s HospitalZhengzhouHenan 450003China Department of critical care medicine The Second Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiang 150001China Department of critical care medicine First Affiliated Hospital of Xi’an Jiaotong UniversityXi’anShaanxi 710061China Department of critical care medicine Tianjin Third Central HospitalTianjin 300170China Department of critical care medicine The First Affiliated Hospital of Xinjiang Medical UniversityUrumqiXinjiang 830054China Department of critical care medicine First Medical CenterChinese PLA General HospitalBeijing 100853China

Overview The term“Big Data”originated at the 11th Electronic Materials Conference World Annual Conference,which originally referred to the large amount of data generated by the application of technology.[1]Medical big data includes not only the medical history and examination data accumulated during patient hospitalization,but also patient-related follow-up data,prognostic data from outpatient,emergency,and medical insurance settlement departments as well as clinical experiment *** far,it has profound applications in the various specialties of medicine.[2-4]However,intensive care medicine(ICU)is different from other medical *** comparison with clinical practice data,medical data in ICU have the following characteristics:large scale,rapid production,diverse dimensions,inaccuracies,heterogeneity,incompleteness,complexity,and privacy concerns.[5]In fact,in the process of constructing major ICU databases in China and worldwide,these databases have been optimized at great *** heterogeneity as an example。

关键词： originated dimensions constructing

Quality metrics and outcomes among critically ill patients in China:results of the national clinical quality control indicators for critical care medicine survey 2015-2019

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Chinese Medical Journal 2022年第9期135卷 1064-1075页

作者： Xi Rui Fen Dong Xudong Ma Longxiang Su Guangliang Shan Yanhong Guo Yun Long Dawei Liu Xiang Zhou Department of critical care medicine Peking Union Medical College HospitalPeking Union Medical College and Chinese Academy of Medical SciencesBeijing 100029China Institute of Clinical Medical Sciences China-Japan Friendship HospitalBeijing 100029China Department of Medical Administration National Health Commission of the People's Republic of ChinaBeijing 100044China Department of Epidemiology and Biostatistics Institute of Basic Medicine SciencesChinese Academy of Medical Sciences(CAMS)&School of Basic MedicinePeking Union Medical CollegeBeijing 100005China

Background:It is crucial to improve the quality of care provided to ICU patient,therefore a national survey of the medical quality of intensive care units(ICUs)was conducted to analyze adherence to quality metrics and outcomes among critically ill patients in China from 2015 to ***:This was an ICU-level study based on a 15-indicator online survey conducted in *** that ICU care quality may vary between secondary and tertiary hospitals,direct standardization was adopted to compare the rates of ICU quality indicators among provinces/*** analysis was performed to identify potential factors for in-hospital mortality and factors related to ventilator-associated pneumonia(VAP),catheter-related bloodstream infections(CRBSIs),and catheter-associated urinary tract infections(CAUTIs).Results:From the survey,the proportions of structural indicators were 1.83%for the number of ICU inpatients relative to the total number of inpatients,1.44%for ICU bed occupancy relative to the total inpatient bed occupancy,and 51.08%for inpatients with Acute Physiology and Chronic Health Evaluation II scores≥*** proportions of procedural indicators were 74.37%and 76.60%for 3-hour and 6-hour surviving sepsis campaign bundle compliance,respectively,62.93%for microbiology detection,58.24%for deep vein thrombosis prophylaxis,1.49%for unplanned endotracheal extubations,1.99%for extubated inpatients reintubated within 48 hours,6.38%for unplanned transfer to the ICU,and 1.20%for 48-hour ICU *** proportions of outcome indicators were 1.28‰for VAP,3.06‰for CRBSI,3.65‰for CAUTI,and 10.19%for in-hospital *** the indicators varied greatly across provinces and regions,the treatment level of ICUs in China has been stable and improved based on various quality control indicators in the past 5 *** overall mortality rate has dropped from 10.19%to approximately 8%.Conclusions:The quality indicators of medical care in China’s ICUs are hetero

关键词： Medical quality ICU China Epidemiological survey

National survey of the awareness and implementation status of early pulmonary rehabilitation for patients with critical illness in departments of pulmonary and critical care medicine in 2019

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Chinese Medical Journal 2023年第2期136卷 227-229页

作者： Qing Zhao Liyuan Tao Quanguo Li Sinan Wu Dingyi Wang Peng Feng Nan Luo Yuxiao Xie Siyuan Wang Cunbo Jia Gang Zeng Hongmei Zhao Department of Pulmonary and critical care medicine Center of Respiratory MedicineChina–Japan Friendship HospitalBeijing 100029China National Clinical Research Center for Respiratory Diseases Beijing 100029China Institute of Respiratory medicine Chinese Academy of Medical SciencesBeijing 100029China National Center for Respiratory medicine Beijing 100029China Research Center of Clinical Epidemiology Peking University Third HospitalBeijing 100091China Department of Pulmonary and critical care medicine Weifang Respiratory Disease HospitalWeifang No.2 Renmin HospitalWeifangShandong 261041China Department of Clinical Research and Data management Center of Respiratory MedicineChina-Japan Friendship HospitalBeijing 100029China Department of Hospital Development Office China–Japan Friendship HospitalBeijing 100029China Department of Medical Rehabilitation China–Japan Friendship HospitalBeijing 100029China Department of Respiratory medicine North District of Suzhou Municipal HospitalNanjing Medical UniversitySuzhouJiangsu 215000China

To the Editor:The aim of early pulmonary rehabilitation(PR)in the intensive care unit(ICU)is to reduce the incidence of post-ICU syndrome,increase the number of ventilator-free days,reestablish and improve functional capacity,improve health-related life quality,promote mental health,and enhance participation in everyday *** in the ICU is highly effective and plays an important role in recovery of patients with reduced exercise endurance,functional capacity,and health-related life *** surveys outside China have assessed the implementation of early rehabilitation in the ICU,[1]but there are few data from *** study aimed to investigate the awareness and implementation of early PR in secondary-and tertiary-class hospitals with pulmonary and critical care medicine(PCCM)standardized *** staff members were recruited to fill out a selfdesigned *** defined early PR as PR within 5 days of ICU admission.

关键词： critical survey everyday

Calling for improved pulmonary and critical care medicine in China and beyond

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Chinese Medical Journal Pulmonary and critical care medicine 2023年第1期1卷 1-2页

作者： Chen Wang Xiuyuan Hao Simiao Chen Chinese Academy of Medical Sciences&Peking Union Medical College Beijing 100730China Editorial Department of Chinese Medical Journal Pulmonary and critical care medicine Chinese Medical AssociationBeijing 100052China Heidelberg Institute of Global Health Faculty of Medicine and University HospitalHeidelberg UniversityHeidelbergGermany

Infectious and chronic respiratory diseases place a high burden on both individual patients and the health *** instance,lower respiratory infections count among the leading causes of death worldwide.1 The emergence wi... 详细信息

关键词： respiratory diseases death

Emergency and critical care medicine:the launch of a new medical journal

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Emergency and critical care medicine 2021年第1期1卷 1-1页

作者： Yuguo Chen Department of Emergency and Chest Pain Center Clinical Research Center for Emergency and Critical Care Medicine of Shandong ProvinceInstitute of Emergency and Critical Care Medicine of Shandong UniversityKey Laboratory of Emergency and Critical Care Medicine of Shandong ProvinceKey Laboratory of Cardiopulmonary-Cerebral Resuscitation Research of Shandong ProvinceQilu HospitalCheeloo College of MedicineShandong UniversityJinanShandongChina

After careful preparation and collective efforts,we are honored to announce the launch of the first issue of Emergency and *** journal offers a new opportunity to cross professional boundaries,track research hotspots,... 详细信息

关键词： journal collective care

History of pediatric critical care medicine in the mainland of China

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Pediatric Investigation 2019年第2期3卷 69-71页

作者： Suyun Qian Feng Xu Pediatric Intensive care Unit Beijing Children's HospitalCapital Medical UniversityNational Center for Children's HealthBeijingChina Pediatric Intensive care Unit Children's Hospital of Chongqing Medical UniversityChongqingChina

Overview of critical care medicineThe history of critical care medicine (CCM) dates back more than a *** predecessor of the intensive care unit (ICU) was a 'special ward' where doctors and nurses used integrated equip... 详细信息

关键词： Overview Mainland Predecessor

Journal of Intensive medicine:A leading forum for breakthroughs and progress in critical care medicine

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Journal of Intensive medicine 2021年第1期1卷 1-1页

作者： Dechang Chen Department of critical care medicine Ruijin HospitalShanghai Jiao Tong University School of MedicineNo 197Rui Jin 2nd roadShanghai 200025China

Dear Readers,critical care medicine is a discipline that was established in the early 1980s in *** 40 years later,its importance is widely recognized and it has been developed as a second-tier discipline with its own systems of clinical practice,teaching,and *** care medicine has seen rapid progress in the last decade and has played an important role in emerging public health events,and is expected to further evolve in the post-pandemic era.

关键词： Medical journal Publication critical care medicine