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Báo cáo y học: " Recently published papers: Delivery, volume and outcome – what is best for our patient"

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: Recently published papers: Delivery, volume and outcome – what is best for our patient? | Available online http ccforum.eom content 11 4 155 Commentary Recently published papers Delivery volume and outcome - what is best for our patient Lui G Forni1 2 1 Department of Nephrology Critical Care Worthing General Hospital Lyndhurst Road Worthing West Sussex BN11 2DH UK 2Brighton Sussex Medical School University of Sussex Brighton East Sussex BN1 9PX UK Corresponding author Lui Forni Lui.Forni@wash.nhs.uk Published 14 August 2007 Critical Care 2007 11 155 doi 10.1186 cc6082 This article is online at http ccforum.com content 11 4 155 2007 BioMed Central Ltd See related research by Peelen et al. http ccforum.com content 11 3 R40 Abstract Many studies have demonstrated that prompt appropriate treatment for the critically ill patient improves outcome. Moving patients to the best place for instituting care however is not always associated with improved outcome. Recent studies on delivering patients to the best place for treatment as well as further work on the effects of volume are discussed. Finally a large retrospective cohort study comparing outcomes of patients treated with continuous venovenous haemofiltration or intermittent haemodialysis is outlined. Nothing is permanent but change Heraclitus circa 500 BC For those of us practicing in the United Kingdom the National Health Service is approaching its 60th birthday and far from being pensioned off there is much political will to change the way healthcare is being delivered in a radical fashion. This reinvention of the National Health Service is being applied across the board including the critical care arena and an often-used phrase is that of reconfiguration of services. This will probably lead in time to fewer critical care units in England and to more patients being transferred between hospitals. Two papers published in Critical Care Medicine therefore make interesting reading for those of us swept up in this maelstrom. Golestanian and colleagues performed a cohort observational study examining the effects