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INTRODUCTION This study explores the needs and anxiety levels of relatives faced with the stress of a family member's critical care hospitalization in relation to the relatives' age, gender, educational level and type of kinship with the patient and in relationship to the characteristics of the admission and the condition of the patient. METHODS(More)
OBJECTIVES Maintenance of normoglycemia with insulin reduces mortality and morbidity of critically ill patients. Here we report the factors determining insulin requirements and the impact of insulin dose vs. blood glucose control on the observed outcome benefits. DESIGN A prospective, randomized, controlled trial. SETTING A 56-bed predominantly surgical(More)
Mortality of generalized postoperative peritonitis remains high at 22% to 55%. The aim of the present study was to identify prognostic factors by means of univariate and multivariate analysis in a consecutive series of 96 patients. Mortality was 30%. Inability to clear the abdominal infection or to control the septic source, older age, and unconsciousness(More)
OBJECTIVE The purpose of the study was to provide psychometric evaluation of the Dutch version of the Critical Care Family Needs Inventory. SETTING The study took place in an intensive care unit of a university hospital. PARTICIPANTS The participant group included 200 adult family members visiting a patient within the 72-hour interval after admission to(More)
OBJECTIVES Coronary artery bypass grafting carried out in patients in cardiogenic shock or receiving cardiopulmonary resuscitation is an infrequently performed procedure, disrupting the normal process with a dramatic early risk. These circumstances mandate an analysis of the benefit, including the early identification of the late survivors. METHODS A(More)
BACKGROUND/AIMS Steroids are traditionally used in liver transplantation as a part of a triple or quadruple immunosuppressive regimen. Steroids act non-specifically and cause multiple side-effects. Most liver transplantation centers reduce the dosage of steroids and eventually withdraw them after various time intervals. A few steroid-free trials have been(More)
T HERE IS considerable circumstantial evidence that hypertension is associated with abnormalities of water and electrolyte metabolism. In man this evidence rests mainly upon the fact that a low sodium diet will frequently reduce blood pressure's 2 and that salt-retaining hormones will produce hypertension.a A drug which lowers blood pressure by producing a(More)