私たちの考えるジャーナルクラブは、参加者が海外文献を和訳して発表し合うというような、単なる“抄読会”とは一線を画します。試験デザインから結論に至るまでの過程を常に批判的な視点でとらえ、同様の、あるいはそれ以上のエビデンスを自分たちの施設で獲得するにはプロトコールのどの部分を手直しすればよいかなど、現場主義に徹した討論の場を提供するのがJSEPTICのジャーナルクラブです。参考までに最近のレビューをお示しします。この臨場感に惹かれたなら、今すぐJSEPTICの門戸を叩いてください。
更新日: 2017/02/13
呼吸不全とリハビリ
Standardized Rehabilitation and Hospital Length of Stay Among Patients With Acute Respiratory Failure: A Randomized Clinical Trial.
Morris PE, Berry MJ, Files DC, et al. Standardized Rehabilitation and Hospital Length of Stay Among Patients With Acute Respiratory Failure: A Randomized Clinical Trial. JAMA. 2016 Jun 28;315(24):2694-702. PMID: 27367766
更新日: 2017/02/13
Chronic critical illness患者の家族への緩和専門医による説明の効果
Effect of Palliative Care-Led Meetings for Families of Patients With Chronic Critical Illness: A Randomized Clinical Trial.
Carson SS, Cox CE, Wallenstein S, et al. Effect of Palliative Care-Led Meetings for Families of Patients With Chronic Critical Illness: A Randomized Clinical Trial. JAMA. 2016 Jul 5;316(1):51-62. PMID: 27380343
更新日: 2017/02/13
医師と重症患者の代理意思決定者の予後についての不一致に関する要因
Prevalence of and Factors Related to Discordance About Prognosis Between Physicians and Surrogate Decision Makers of Critically Ill Patients.
White DB, Ernecoff N, Buddadhumaruk P, et al. Prevalence of and Factors Related to Discordance About Prognosis Between Physicians and Surrogate Decision Makers of Critically Ill Patients. JAMA. 2016 May 17;315(19):2086-94. PMID: 27187301
更新日: 2016/10/03
重症患者介護者の1年後の予後
One-Year Outcomes in Caregivers of Critically Ill Patients.
Cameron JI, Chu LM, Matte A, et al. One-Year Outcomes in Caregivers of Critically Ill Patients. N Engl J Med. 2016 May 12;374(19):1831-41. PMID: 27168433
更新日: 2016/10/03
家族との衝突の対処
Conflict Management Strategies in the ICU Differ Between Palliative Care Specialists and Intensivists.
Chiarchiaro J, White DB, Ernecoff NC, et al. Conflict Management Strategies in the ICU Differ Between Palliative Care Specialists and Intensivists. Crit Care Med. 2016 May;44(5):934-42. PMID: 26765500
更新日: 2015/11/30
潜在的に不適切な治療の要求
An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units.
Bosslet GT, Pope TM, Rubenfeld GD, et al. An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units. Am J Respir Crit Care Med. 2015 Jun 1;191(11):1318-30. PMID: 25978438
更新日: 2015/11/30
脳死臓器提供者の管理
Management of the Potential Organ Donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement.
Kotloff RM, Blosser S, Fulda GJ, et al. Management of the Potential Organ Donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement. Crit Care Med. 2015 Jun;43(6):1291-325. PMID: 25978154
更新日: 2015/07/20
質的改善プログラムへの参加と予後
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.
更新日: 2015/02/02
ICUにおける不適切診療
Inappropriate care in European ICUs: confronting views from nurses and junior and senior physicians.
Inappropriate care in European ICUs: confronting views from nurses and junior and senior physicians. Chest. 2014 Aug;146(2):267-75. PMID: 24832567
更新日: 2014/09/22
メタ解析の読み方
How to read a systematic review and meta-analysis and apply the results to patient care: users' guides to the medical literature.
Murad MH, Montori VM, Ioannidis JP, et al. How to read a systematic review and meta-analysis and apply the results to patient care: users' guides to the medical literature.JAMA. 2014 Jul;312(2):171-9.PMID: 25005654
更新日: 2014/07/28
ICU-AW
ICU-Acquired Weakness and Recovery from Critical Illness
John P. Kress, M.D., and Jesse B. Hall, M.D.. ICU-Acquired Weakness and Recovery from Critical Illness. N Engl J Med 2014; 370:1626-1635. PMID: 24758618
更新日: 2014/06/16
手術安全チェック
Introduction of Surgical Safety Checklists in Ontario, Canada
David R. Urbach, M.D., Anand Govindarajan, M.D., et al. Introduction of Surgical Safety Checklists in Ontario, Canada. N Engl J Med 2014; 370:1029-1038. PMID: 24620866
更新日: 2014/03/31
サブグループ解析の使い方
How to Use a Subgroup Analysis Users’ Guide to the Medical Literature
Sun X, Ioannidis JP, Agoritsas T, et al. How to Use a Subgroup Analysis Users' Guide to the Medical Literature. JAMA. 2014 Jan 22-29;311(4):405-11
更新日: 2014/03/17
重症疾患後の認知機能
Long-term cognitive impairment after critical illness.
Pandharipande PP1, Girard TD, et al. Long-term cognitive impairment after critical illness.N Engl J Med. 2013 Oct 3;369(14):1306-16.
更新日: 2013/06/24
家族の前でのCPR
Family Presence during Cardiopulmonary Resuscitation
Patricia Jabre, M.D., Ph.D., Vanessa Belpomme, M.D., et al. Family Presence during Cardiopulmonary Resuscitation The New England Journal of Medicine / 2013;368:1008-18. PMID: 23484836
更新日: 2012/09/10
Intensivistの夜間勤務と重症患者の死亡率
Nighttime intensivist staffing and mortality among critically ill patients.
Wallace DJ, Angus DC, Barnato AE, Nighttime intensivist staffing and mortality among critically ill patients. N Engl J Med. 2012 ;366(22) :2093-101. Epub 2012 May 21. PMID: 22612639
更新日: 2012/07/23
FACE study (発熱と解熱薬)
Association of body temperature and antipyretic treatments with mortality of critically ill patients with and without sepsis: multi-centered prospective observational study
Crit Care. 2012;16(1):R33.
更新日: 2011/12/12
プロトコールと教育との関係
Clinical protocols and trainee knowledge about mechanical ventilation.
Prasad M, Holmboe ES, Lipner RS, et al. Clinical protocols and trainee knowledge about mechanical ventilation. JAMA. 2011; 306: 935-41. PMID: 21900133
更新日: 2011/11/14
ICU入室と慢性疾患治療薬の中止
Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.
Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. JAMA. 2011; 306: 840-7. PMID: 21862745
更新日: 2011/09/12
BNP測定のoutcome
Meta-analysis: effect of B-type natriuretic peptide testing on clinical outcomes in patients with acute dyspnea in the emergency setting.
Lam LL, Cameron PA, Schneider HG, et al. Meta-analysis: effect of B-type natriuretic peptide testing on clinical outcomes in patients with acute dyspnea in the emergency setting. Ann Intern Med. 2010; 153 : 728-35. PMID: 21135296
更新日: 2011/06/02
ICUの質の向上教育プログラム
A multifaceted intervention for quality improvement in a network of intensive care units: a cluster randomized trial.
Scales DC, Dainty K, Hales B, et al. A multifaceted intervention for quality improvement in a network of intensive care units: a cluster randomized trial. JAMA. 2011; 305: 363-72. PMID: 21248161
更新日: 2011/01/31
チューブの目盛りか、聴診か、胸部の動きか。-気管挿管の位置-
Endobronchial intubation detected by insertion depth of endotracheal tube, bilateral auscultation, or observation of chest movements: randomised trial.
Sitzwohl C, Langheinrich A, Schober A, et al. Endobronchial intubation detected by insertion depth of endotracheal tube, bilateral auscultation, or observation of chest movements: randomised trial. BMJ. 2010 Nov 9; 341 :c5943. PMID: 21062875
更新日: 2009/11/04
健康な老人のICU入院の後の死亡率
Mortality in healthy elderly patients after ICU admission
Sacanella E, Pérez-Castejón JM, Nicolás JM, et al. Mortality in healthy elderly patients after ICU admission. Intensive Care Med. 2009; 35: 550-5. Epub 2008 Nov 4. PMID: 18982308