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Effects of high-volume hemofiltration on alveolar- arterial oxygen exchange in patients with refractory septic shock 被引量:5
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作者 Hong-sheng Ren Shi-xue Gao +6 位作者 Chun-ting Wang Yu-fcng Chu Jin-jiao Jiang Ji-chcng Zhang Mci Mcng Guo-qian Qi Min Ding 《World Journal of Emergency Medicine》 SCIE CAS 2011年第2期127-131,共5页
BACKGROUND:High-volume hemofiltration (HVHF) is technically possible in severe acute pancreatitis (SAP) patients complicated with multiple organ dysfunction syndrome (MODS). Continuous HVHF is expected to becom... BACKGROUND:High-volume hemofiltration (HVHF) is technically possible in severe acute pancreatitis (SAP) patients complicated with multiple organ dysfunction syndrome (MODS). Continuous HVHF is expected to become a beneficial adjunct therapy for SAP complicated with MODS. In this study, we aimed to explore the effects of fluid resuscitation and HVHF on alveolar- arterial oxygen exchange, the Acute Physiology and Chronic Health Evaluation II (APACHE II) score in patients with refractory septic shock. METHODS:A total of 89 refractory septic shock patients, who were admitted to ICU, the Provincial Hospital affiliated to Shandong University from August 2006 to December 2009, were enrolled in this retrospective study. The patients were randomly divided into two groups: fluid resuscitation (group A, n=41), and fluid resuscitation plus high-volume hemofiltration (group B, n=48), The levels of O2 content of central venous blood (CcvO2), arterial oxygen content (CaO2), alveolar-arterial oxygen pressure difference P(A-a)DO2, ratio of arterial oxygen pressure/alveolar oxygen pressure (PaO2/ PAO2), respiratory index (RI) and oxygenation index (OI) were determined. The oxygen exchange levels of the two groups were examined based on the arterial blood gas analysis at different times (0, 24, 72 hours and 7 days of treatment) in the two groups. The APACHE II score was calculated before and after 7-day treatment in the two groups. The levels of CcvO2, CaO2 on day 7 in group A were significantly lower than those in group B (CcvO2:0.60±0.24 vs, 0.72±0.28, P〈0.05; CaO2:0.84±0.43 vs. 0.94±0.46, P〈0.05). The level of oxygen extraction rate (O2ER) in group A on the 7th day was significantly higher than that in group B ( 28.7±2.4 vs. 21.7±3.4, P〈0.01). The levels of P(A-a)DO2 and RI in group B on the 7th day were significantly lower than those in group A. The levels of PaO2/PAO2 and OI in group B on 7th day were significantly higher than those in group A (P〈0.05 or P〈0.01). The APACHE II score in the two groups reduced gradually after 7-day treatment, and the APACHE II score on the 7th day in group B was significantly lower than that in group A (8.2±3.8 vs. 17.2±6.8, P〈0.01). HVHF combined with fluid resuscitation can improve alveolar- arterial-oxygen exchange, decrease the APACHE II score in patients with refractory septic shock, and thus it increases the survival rate of patients. 展开更多
关键词 Fluid resuscitation high-volume hemofiltration Septic shock Oxygen extractionrate Alveolar-arterial oxygen exchange PaO2/PAO2 ratio Respiratory index Oxygenation index AcutePhysiology and Chronic Health Evaluation II (APACHE II)
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Investigation on high-volume fly ash pastes modified with micro-size metakaolin subjected to high temperatures 被引量:1
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作者 Alaa M RASHAD 《Journal of Central South University》 SCIE EI CAS CSCD 2020年第1期231-241,共11页
Portland cement(PC) containing high-volume fly ash(HVFA) is usually used to obtain economical and more sustainable merits, but these merits suffer from dramatically low compressive strength especially at early ages. I... Portland cement(PC) containing high-volume fly ash(HVFA) is usually used to obtain economical and more sustainable merits, but these merits suffer from dramatically low compressive strength especially at early ages. In this work, the possibility of using micro-size metakaolin(MSK) particles to improve the compressive strength of HVFA paste before and after subjecting to high temperatures was studied. To produce HVFA paste, cement was partially substituted with 70% fly ash(FA), by weight. After that, FA was partially substituted with MSK at ratios fluctuating from 5% to 20% with an interval of 5%, by weight. The effect of MSK on the workability of HVFA mixture was measured. After curing, specimens were subjected to different high temperatures fluctuating from 400 to 1000 ℃ with an interval of 200 ℃ for 2 h. The results were analyzed by different techniques named X-ray diffraction(XRD), thermogravimetry(TGA) and scanning electron microscopy(SEM). The results showed that the incorporation of MSK particles into HVFA mixture exhibited a negative effect on the workability and a positive effect on the compressive strength before and after firing. 展开更多
关键词 high-volume fly ash micro-size metakaolin high-temperature property workability remaining compressive strength
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Accelerated Carbonation Assessment of High-Volume Fly Ash Concrete 被引量:1
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作者 Federico Aguayo Anthony Torres +1 位作者 Yoo-Jae Kim Omkar Thombare 《Journal of Materials Science and Chemical Engineering》 2020年第3期23-38,共16页
The issue of concrete carbonation has gained importance in recent years due to the increase use in supplementary cementing materials (SCMs) in concrete mixtures. While there is general agreement that concrete carbonat... The issue of concrete carbonation has gained importance in recent years due to the increase use in supplementary cementing materials (SCMs) in concrete mixtures. While there is general agreement that concrete carbonation progresses at maximum at a relative humidity of about 60%, the rate may differ in the case of cements blended with SCMs, especially with high-volume fly ash replacements. In this study, the effect of high-volume fly ash concrete exposed to low ambient relative humidity (RH) conditions (57%) and accelerated carbonation (4% CO2) is investigated. Twenty-three concrete mixtures were produced varying in cementitious contents (310, 340, 370, and 400 kg/m3), water-to-cementitious materials ratio (0.45 and 0.50), and fly ash content (0%, 15%, 30%, and 50%) using a low and high-calcium fly ash. The specimens were allowed 1 and 7 days of moist curing and monitored for their carbonation rate and depth through phenolphthalein measurements up to 105 days of exposure. The accelerated carbonation test results indicated that increasing the addition of fly ash also led to increasing the depth of carbonation. Mixtures incorporating high-calcium fly ash were also observed to be more resistant against carbonation than low-calcium fly ash due to the higher calcium oxide (CaO) content. However, mixtures incorporating high-volume additions (50%) specimens were fully carbonated regardless of the type of fly ash used. It was evident that the increase in the duration of moist curing from 1 day to 7 days had a positive effect, reducing the carbonation depth for both plain and blended fly ash concrete mixes, however, this effect was minimal in high-volume fly ash mixtures. The results demonstrated that the water-to-cementitious ratio (W/CM) had a more dramatic impact on carbonation resistance than the curing age for mixtures incorporating 30% or less fly ash replacement, whereas those mixtures incorporating 50% showed minor differences regardless of curing age or W/CM. Based on the compressive strength results, carbonation depth appeared to decrease with increase in compressive strength, but this correlation was not significant. 展开更多
关键词 Accelerated CARBONATION FLY ASH Concrete Relative Humidity high-volume FLY ASH SUPPLEMENTARY Cementitious Materials
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High-Volume Fly Ash Concrete-A Relevant Step to Sustainable Development
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作者 Malgorzata Lelusz 《Journal of Environmental Science and Engineering(A)》 2014年第5期257-267,共11页
HVFA (high-volume fly ash) concrete could be a sustainable way for by-product utilization to conserve natural resources and protect environment. HVFA concrete can play the role of a high-performance material that ma... HVFA (high-volume fly ash) concrete could be a sustainable way for by-product utilization to conserve natural resources and protect environment. HVFA concrete can play the role of a high-performance material that may be comparable to the conventional Portland cement concrete. The results of the research programme concerning the relationships between the composition of concrete (w/b ratio, fly ash content and type of cement) and their physical and mechanical properties are presented and discussed in the paper. It is found that the introduction of high-volume fly ash into concrete has caused a decrease in compressive strength at the early age of storage. The significant increase in strength was observed between 28 days and 90 days of curing. The high-volume fly ash concretes were characterized with lower water absorbability and sorptivity than control concrete. 展开更多
关键词 Fly ash concrete high-volume fly ash strength development.
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Smart prediction:Hybrid random forest for high-volume fly ash self-compacting concrete strength
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作者 Shashikant KUMAR Rakesh KUMAR +4 位作者 Sayan SIRIMONTREE Divesh Ranjan KUMAR Warit WIPULANUSAT Suraparb KEAWSAWASVONG Chanachai THONGCHOM 《Frontiers of Structural and Civil Engineering》 2025年第6期892-918,共27页
Sustainable development in the concrete industry necessitates a standardized framework for material development,despite promising experimental results.High-volume fly ash(HVFA)self-compacting concrete’s(SCC)strength ... Sustainable development in the concrete industry necessitates a standardized framework for material development,despite promising experimental results.High-volume fly ash(HVFA)self-compacting concrete’s(SCC)strength characteristics are investigated in this study through the use of sophisticated modeling techniques such as random forest(RF),RF-particle swarm optimization,RF-Bayesian optimization,and RF-differential evolution(RF-DE).Cement was partially replaced with HVFA and silica fume(SF),enhancing fresh and hardened concrete properties such as compressive and split-tensile strengths,passing ability,and filler capacity.Input parameters included cement,SF,fly ash,T-500-time,maximum spread diameter,L-box blocking ratio,J-ring test,V-funnel time,and age.Statistical tools like uncertainty analysis,SHapley Additive exPlanations,and regression error characteristic curves validated the models.The RF-DE model showed the best predictive accuracy among them.Machine learning(ML)is great at predicting compressive strength(CS),but SCC-mix engineers have a hard time understanding it because of its“black-box”nature.To address this,an open-source graphical user interface based on RF-DE was developed,offering precise CS predictions for diverse mix conditions.This user-friendly tool empowers engineers to optimize mix proportions,supporting sustainable concrete design and facilitating the practical application of ML in the industry. 展开更多
关键词 high-volume fly ash silica fume self-compacting concrete random forest differential evolution Bayesian optimization particle swarm optimization
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Performance evaluation of high-volume evacuation for removing droplets during dental treatment
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作者 Chaojie Xing Zhengtao Ai +1 位作者 Cheuk Ming Mak Hai Ming Wong 《Building Simulation》 CSCD 2024年第12期2263-2280,共18页
The high-volume evacuation(HVE)is commonly employed as a primary source control measure for removing splatter emitted from mouth during dental treatments,but there is still a lack of comprehensive understanding of its... The high-volume evacuation(HVE)is commonly employed as a primary source control measure for removing splatter emitted from mouth during dental treatments,but there is still a lack of comprehensive understanding of its efficiency.Based on our previous experiments on the emission characteristics during dental treatments,this study employed computational fluid dynamics(CFD)simulations to investigate the impact of emission parameters(droplet size,emission velocity,emission angle),HVE usage methods(distance between HVE and the droplet release source),and HVE suction flow rates on its removal efficiency.The effect of HVE on fallow time(FT)was also examined.Cumulative removal efficiency that accurately reflected the HVE effect was proposed as an evaluation index.It was found that emission velocity and distance between HVE and the source were key factors determining cumulative removal efficiency.When the distance was 4 cm,the cumulative removal efficiencies for low-velocity(0.8 m/s),medium-velocity(3.4 m/s),and high-velocity droplets(6.0 m/s)were approximately 97.9%,73.6%,and 58.0%,respectively.For high-velocity droplets at 6.0 m/s,decreasing the distance from 4 cm to 2 cm and 1 cm increased the cumulative removal efficiency from 58.0%to 76.7%and 100%.This study was expected to enhance the understanding of HVE performance and provide information on its usage method.It also indicated the need for developing advanced control measures that could have high efficiency in removing both low-velocity and high-velocity droplets. 展开更多
关键词 high-volume evacuation(HVE) ultrasonic scaling instruments(USI) powder jet handpieces(PJH) high-speed air turbine handpiece(HATH) fallow time(FT) computational fluid dynamics(CFD)
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30 years of nanoimprint:development,momentum and prospects
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作者 Wei-Kuan Lin L.Jay Guo 《Opto-Electronic Technology》 2025年第1期5-31,共27页
2025 marks the 30th anniversary of nanoimprint lithography(NIL).Since its inception in 1995,and through global efforts over the past three decades,nanoimprint has emerged as the primary alternative to extreme ultravio... 2025 marks the 30th anniversary of nanoimprint lithography(NIL).Since its inception in 1995,and through global efforts over the past three decades,nanoimprint has emerged as the primary alternative to extreme ultraviolet(EUV)lithography for deep-nanoscale silicon(Si)electronics.Numerous semiconductor companies have recognized NIL's manufacturing quality and are actively being evaluated for the production of the most advanced semiconductor devices.Nanoimprinting's potential extends beyond silicon chip fabrication and wafer-scale applica-tions.With its high throughput and 3D patterning capabilities,NIL is becoming a key technology for fabricating emerging devices,such as flat optics and augmented reality glasses.This review summarizes the key developments and applications of nanoimprint lithography,with a particular focus on the latest industry advancements in nano-Si device manufacturing and nanophotonics applications. 展开更多
关键词 NANOIMPRINTING manufacturing high-volume production SEMICONDUCTOR
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Seasonal trend of ambient PCDD/Fs in Tianjin City, northern China using active sampling strategy 被引量:17
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作者 Lei Ding Yingming Li +5 位作者 Pu Wang Xiaomin Li Zongshan Zhao Qinghua Zhang Ting Tuan Guibin Jiang 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2012年第11期1966-1971,共6页
The spatial concentrations, seasonal trends, profiles and congener pairs of ambient polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were investigated within a seasonally active ... The spatial concentrations, seasonal trends, profiles and congener pairs of ambient polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were investigated within a seasonally active sampling scheme during Jun 2008 and Jan 2009 in Tianjin City, northern China. The PCDD/F concentrations ranged 14.2-172 fg I-TEQ/m3 (average 69.3 fg I-TEQ/m3) in summer and (89.8-1.01) x 103 fg I-TEQ/m3 (average 509 fg I-TEQ/m3) in winter, respectively, except for the E-waste dismantling site where much higher values were observed (1.04 x 103 fg I-TEQ]m3 in summer and 7.123 x 103 fg I-TEQ/m3 in winter). The results indicated a significantly seasonal trend with higher TEQ values in winter as compared with summer, which could be related to increased emission sources and seasonal variations of the atmospheric boundary layer height. 2,3,4,7,8-PeCDF was the dominant contributor to the total PCDD/F toxic equivalents, and 2,3,7,8-TCDD was detected at almost all the sampling sites in winter. Most of the similarly substituted PCDD/F congener pairs exhibited high correlations, suggesting that they might have similar environmental fate or sources. But different seasonal and spatial distributions of PCDD/F concentrations indicated that the emission sources might be intermittent. 展开更多
关键词 PCDD/FS seasonal trend TIANJIN high-volume air sampling
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Decomposition Methods for Manufacturing System Scheduling:A Survey 被引量:4
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作者 Fajun Yang Kaizhou Gao +2 位作者 Ian Ware Simon Yuting Zhu Rong Su 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2018年第2期389-400,共12页
Manufacturing is the application of labor,tools,machines,chemical and biological processing,to an original raw material by changing its physical and geometrical characteristics,in order to make finished products.Since... Manufacturing is the application of labor,tools,machines,chemical and biological processing,to an original raw material by changing its physical and geometrical characteristics,in order to make finished products.Since the first industrial revolution,to accommodate the large-scale production,tremendous changes have happened to manufacturing through the innovations of technology,organization,management,transportation and communication.This work first reviews the highvolume low-mix process by focusing on the quantity production,transfer line and single model assembly line.Then,it reviews the high-volume high-mix process.For such a process type,mixed/multi model assembly line is usually adopted.Hence,two main decisions on them,i.e.,balancing and,sequencing are reviewed.Thereafter,it discusses the low-volume high-mix process in detail.Then,technology gap and future work is discussed,and at last,conclusions are given. 展开更多
关键词 Index Terms-Assembly line high-mix high-volume low-mix low-volume manufacturing processes.
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Influence of high- and low-volume liver surgery in gallbladder carcinoma
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作者 Thorsten Oliver Goetze Vittorio Paolucci 《World Journal of Gastroenterology》 SCIE CAS 2014年第48期18445-18451,共7页
AIM: To clarify whether the performance of liver resections (LR) for incidental gallbladder carcinoma (IGBC)&#x02019;s depends more on the experience of the hospitals in liver surgery than on complying with the gu... AIM: To clarify whether the performance of liver resections (LR) for incidental gallbladder carcinoma (IGBC)&#x02019;s depends more on the experience of the hospitals in liver surgery than on complying with the guidelines in Germany. 展开更多
关键词 Gallbladder carcinoma Radical cholecystectomy high-volume center German-registry Volume cut-off Hepatobiliary surgery
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Synergistic Use of CO_(2) Pretreatment and Accelerated Carbonation Curing for Maximum Recycling of Steel Slag
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作者 刘姚君 AN Xiaopeng +2 位作者 LIANG Huichao YU Kexiao WANG Lan 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS CSCD 2023年第3期530-537,共8页
Two carbonation approaches are considered for studying the effects on the hardening mechanisms of slurries made of 100 wt%electric arc furnace steel slag (EAF) slag or 80 wt%EAF slag incorporating 20 wt% of Portland c... Two carbonation approaches are considered for studying the effects on the hardening mechanisms of slurries made of 100 wt%electric arc furnace steel slag (EAF) slag or 80 wt%EAF slag incorporating 20 wt% of Portland cement,which are applied during the hot-stage pretreatment with simulated gas for raw steel slag or the accelerated carbonation curing of slurry.The mechanical strengths,carbonate products,microstructures and CO_(2) uptakes were quantitatively investigated.Results manifest that accelerated carbonation curing increases the compressive strengths of steel slag slurry,from 17.1 MPa (binder of 80 wt% EAF and 20 wt%cement under standard moisture curing) to 36.0 MPa (binder of 80 wt%EAF and 20 wt%cement under accelerated carbonation curing),with a CO_(2) uptake of 52%.In contrast,hot-stage carbonation applied during the pretreatment of steel slag increases the compressive strengths to 43.7 MPa (binder of 80 wt%carbonated EAF and 20 wt%cement under accelerated carbonation curing),with a CO_(2) uptake of 67%.Hotstage carbonation of steel slag is found for particle agglomeration,minerals remodeling and calcite formed,thus causing an activated steel slag with a dense structure and more active components.Accelerated carbonation curing of steel slag slurry paste results in the newly formed amorphous CaCO_(3),calcite crystalline and silica gels that covered the pores of the matrix,facilitating microstructure densification and strength improvement.Adopting the combinative methods of the hot-stage CO_(2) pretreatment and accelerated carbonation curing creates a promising high-volume steel slag-based binder with high strengths and CO_(2) storage. 展开更多
关键词 high-volume steel slag binders hot-stage CO_(2)pretreatment accelerated carbonation curing CO_(2)storage
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Unexpected diffuse lung lesions in a patient with pulmonary alveolar proteinosis:A case report
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作者 Li Jian Qi-Quan Zhao 《World Journal of Clinical Cases》 SCIE 2023年第20期4932-4936,共5页
BACKGROUND Pulmonary alveolar proteinosis(PAP)often presents nonspecifically and can be easily confused with:(1)Idiopathic interstitial lung fibrosis;(2)alveolar carcinoma;(3)pulmonary tuberculosis;and(4)other lung di... BACKGROUND Pulmonary alveolar proteinosis(PAP)often presents nonspecifically and can be easily confused with:(1)Idiopathic interstitial lung fibrosis;(2)alveolar carcinoma;(3)pulmonary tuberculosis;and(4)other lung diseases such as viral pneumonia,mycoplasma pneumonia,and chlamydial pneumonia.CASE SUMMARY Diagnosis:In this case,a patient was diagnosed with PAP through transbronchial cryobiopsy(TBCB)and quantitative metagenomic next-generation sequencing,which confirmed the impairment of surfactant turnover as the underlying cause of PAP.Interventions:High-volume total lung lavage was performed for this patient.Outcomes:The patient's clinical condition had improved significantly by the 6-month follow-up,with a 92%finger oxygen saturation.A repeat chest computed tomography scan revealed scattered patchy ground-glass shadows in both lungs,which was consistent with alveolar protein deposition but with a lower density than in the radiograph from October 23,2022.CONCLUSION TBCB has unique advantages in diagnosing atypical alveolar protein deposition,particularly for enabling the early detection of PAP.This information can help patients take preventive measures to prevent or halt PAP development by avoiding dusty environments and seeking treatment with total lung lavage and inhaled granulocyte macrophage colony-stimulating factor. 展开更多
关键词 Diffuse lung lesions Pulmonary alveolar proteinosis Quantitative metagenomic next-generation sequencing Transbronchial cryobiopsy high-volume double lung
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Association between ICU quality and in-hospital mortality of V-V ECMO-supported patients—the ECMO quality improvement action(EQIA)study:a national cohort study in China from 2017 to 2019 被引量:1
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作者 Wei Cheng Jieqing Chen +20 位作者 Xudong Ma Jialu Sun Sifa Gao Ye Wang Longxiang Su Lu Wang Wei Du Huaiwu He Yujie Chen Zunzhu Li Qi Li Jianhua Sun Hongbo Luo Jinbang Liu Guangliang Shan Bing Du Yanhong Guo Dawei Liu Chang Yin Xiang Zhou on behalf of the China National Critical Care Quality Control Center-the ECMO quality improvement action(EQIA)study 《Frontiers of Medicine》 SCIE CSCD 2024年第2期315-326,共12页
This cohort study was performed to explore the influence of intensive care unit(ICU)quality on in-hospital mortality of veno-venous(V-V)extracorporeal membrane oxygenation(ECMO)-supported patients in China.The study i... This cohort study was performed to explore the influence of intensive care unit(ICU)quality on in-hospital mortality of veno-venous(V-V)extracorporeal membrane oxygenation(ECMO)-supported patients in China.The study involved all V-V ECMO-supported patients in 318 of 1700 tertiary hospitals from 2017 to 2019,using data from the National Clinical Improvement System and China National Critical Care Quality Control Center.ICU quality was assessed by quality control indicators and capacity parameters.Among the 2563 V-V ECMO-supported patients in 318 hospitals,a significant correlation was found between ECMO-related complications and prognosis.The reintubation rate within 48 hours after extubation and the total ICU mortality rate were independent risk factors for higher in-hospital mortality of V-V ECMO-supported patients(cutoff:1.5%and 7.0%;95%confidence interval:1.05–1.48 and 1.04–1.45;odds ratios:1.25 and 1.23;P=0.012 and P=0.015,respectively).Meanwhile,the V-V ECMO center volume was a protective factor(cutoff of≥50 cases within the 3-year study period;95%confidence interval:0.57–0.83,odds ratio:0.69,P=0.0001).The subgroup analysis of 864 patients in 11 high-volume centers further strengthened these findings.Thus,ICU quality may play an important role in improving the prognosis of V-V ECMO-supported patients. 展开更多
关键词 veno-venous extracorporeal membrane oxygenation in-hospital mortality high-volume centers quality control intensive care unit capacity parameters
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