546 hasil

Impacts of inspired oxygen concentration and arterial oxygen tension on venous and tissue oxygen saturation

Kwok Ming Ho

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Refining mortality risk stratification in pediatric sepsis: the roles of PELOD-2, vasoactive-inotropic scores, and procalcitonin in a tertiary hospital in Eastern Indonesia

Arya Krisna Manggala; Dyah Kanya Wati; Ida Bagus Gede Suparyatha dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Sepsis is a leading cause of mortality and morbidity in children. While the Pediatric Logistic Organ Dysfunction-2 (PELOD-2) score is a common predictor of mortality, it does not account for the use of inotropic drugs or sepsis markers, which are addressed by the vasoactive-inotropic…

Managing sepsis in the era of precision medicine: a narrative review

Ho Jin Yong; Sung Min Kim; Dohhyung Kim

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

For decades, the management of sepsis has adopted protocolized care bundles. However, the plateau in global survival rates suggests that the "one-size-fits-all" paradigm exemplified by early goal-directed therapy has reached its limits. The physiological and biological heterogeneity of sepsis…

Risk factors for chest trauma associated with prehospital mechanical chest compression after non-traumatic out-of-hospital cardiac arrest in a South Korean regional registry

June-sung Kim; Hannah Park; Won Young Kim

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Mechanical chest compression devices are increasingly used during cardiopulmonary resuscitation, particularly in the prehospital setting, where maintaining high-quality manual chest compressions is challenging. In this study, we aimed to determine whether prehospital exposure to…

Managing symptomatic intermediate or high-risk pulmonary embolism presenting concomitantly with intracranial bleeding: case series and literature review

Pipin Kojodjojo; Keith YC Goh; Chieh Yang Koo dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Managing patients with concomitant intracranial bleeding (ICB) and symptomatic pulmonary embolism (PE) is challenging and there are no guidelines. Methods We identified patients with intermediate or high-risk PE and concomitant ICB referred to our institutional PE response teams. A…

Impact of negative-pressure room utilization in the emergency department on hospitalized pneumonia patients during the COVID-19 pandemic in Thailand

Teeravit Danrungrot; Theerapon Tangsuwanaruk; Wachira Wongtanasarasin dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background During the coronavirus disease 2019 (COVID-19) outbreak, negative-pressure rooms were implemented to isolate high-risk COVID-19 patients. This study compared pneumonia patient outcomes before and after their implementation, focusing on in-hospital mortality as the primary outcome…

Native valve infective endocarditis caused by in South Korea

Hyunjoo Oh; Eui Tae Kim; Jeong Rae Yoo

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Early prognostication of septic shock in Korean adults aged 80 years and over: serum albumin combined with Sequential Organ Failure Assessment score

Sang-Min Kim; Seung Mok Ryoo; Woon Yong Kwon dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Septic shock requires careful risk stratification in patients aged 80 and over. Serum albumin levels reflect host status and, when combined with the severity of organ dysfunction, may enhance early prognostication. Here, we evaluated whether combining albumin levels with the Sequential…

Rethinking extubation failure as risk calibration in ventilator liberation

Jin Sun Cho

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Prioritizing the patient through a continuum of personalized care: insights from the 2026 Surviving Sepsis Campaign guidelines

Gyungah Kim; Won-Young Kim

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Direct and indirect effects of the COVID-19 pandemic on mortality and critical care utilization in South Korea

Mindong Sung; Hye Jin Jang; Soyul Han dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background The coronavirus disease 2019 (COVID-19) pandemic has had unprecedented global impact, with significant effects on mortality and healthcare utilization. This study evaluated the direct and indirect impacts of COVID-19 on mortality and healthcare utilization in South Korea, a country that…

Rehabilitating the diaphragm: an integrated approach to intensive care unit-acquired dysfunction in critical illness—a narrative review

Ricardo Arriagada; Aaron Pagan; Daniela Nisticò dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Improved survival in critical illness has increased recognition of intensive care unit (ICU) complications, particularly ICU-acquired weakness, which affects up to 25% of patients. Diaphragm involvement is common and contributes to prolonged ventilation, difficult weaning, and worse outcomes…

Beyond blood pressure: a comprehensive overview of clinical indices in shock and tissue hypoperfusion

Jooyun Kim; Saeyeon Kim; Ji-Hee Lee dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Shock is a state of circulatory failure characterized by impaired tissue perfusion due to a mismatch between oxygen delivery and consumption (VO2). While macrocirculation serves as a conduit to sustain blood flow toward the microcirculatory networks, it is the microcirculation that ultimately…

Feasibility and accuracy of continuous glucose monitoring in surgical intensive care unit patients: a single-center pilot study in South Korea

Hyojun Park; Eunmi Gil; Joon Ho Lee dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Continuous glucose monitoring (CGM) technology offers potential advantages over intermittent point-of-care testing in critically ill patients by providing real-time glucose trends and automated alerts. However, its accuracy and feasibility in intensive care settings require validation…

Comparative prognostic performance of nutritional assessment tools in critically ill surgical patients after emergency surgery for sepsis or septic shock: a single-center retrospective study in South Korea

Sung Bak An; Dong Woo Shin

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Malnutrition is prevalent in critically ill patients. Although various nutritional assessment tools are used in intensive care units (ICUs), their comparative prognostic performance in critically ill surgical patients requiring postoperative ICU care after emergency surgery for sepsis or…

Association of extubation failure rate with patient outcomes

Ivan Gur; Roei Tounek; Ronen Zalts dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background While the propensity of evidence indicates the potential harm of failed extubation attempts, avoidance of any such risk may unnecessarily expose patients to prolonged invasive ventilation. We aimed to study the effects of extubation failure rate (EFR) on patient mortality and…

The functional landscape of critical care: a nationwide study of volume, capability, and institutional variation in South Korea

Ho Kyung Sung; Jeehye Lee; Min-hwan Oh dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background In Korea, intensive care units (ICUs) are defined mainly by administrative categories, which do not reflect functional capability. This study examined the relationship between hospital capacity and functional performance by analyzing nationwide patterns of volume, capability, and…

Developing consensus-based indicators for intensive care unit capacity and capability in South Korea: a modified Delphi study

Jeehye Lee; Ho Kyung Sung; Min-hwan Oh dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Intensive care units (ICUs) are essential components of modern healthcare systems, but South Korea lacks capability-based standards for ICU classification. Critically ill patients are frequently assigned based on bed availability rather than clinical need, creating mismatches between…

Predictors of intermediate syndrome after organophosphorus poisoning and its management in Nepal

Kishor Khanal; Saroj Poudel

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Organophosphorus (OP) poisoning is a global public health challenge, is common in agricultural regions, and is associated with high morbidity and mortality. Intermediate syndrome (IMS) is a delayed complication of OP poisoning that usually occurs 24–96 hours post-exposure and is characterized by…

Clinical variable-based decision-support model for rapid differentiation of hemorrhagic and ischemic stroke at emergency department presentation in South Korea

Jae-Woo Kim; Jin-Heon Jeong; Moon-Ku Han dkk.

Acute and Critical Care, Vol. 41 No. 2 · 2026 · Inggris · DOAJ Scopus

Background Prompt differentiation between ischemic stroke (IS) and hemorrhagic stroke (HS) is critical because their treatment strategies fundamentally differ. While neuroimaging is essential, clinical decision-making often begins before imaging is completed, and conventional clinical scores have…