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  1. Intensive Care Unit (ICU) readmissions are associated with increased morbidity, mortality, and healthcare costs. Therefore, determining an appropriate timing of ICU discharge is critical. In this context, deep...

    Authors: Emanuele Koumantakis, Konstantina Remoundou, Nicoletta Colombi, Carmen Fava, Ioanna Roussaki, Alessia Visconti and Paola Berchialla
    Citation: Critical Care 2025 29:442
  2. Authors: Luis Felipe Reyes, Cristian C. Serrano‑Mayorga, Zhongheng Zhang, Isabela Tsuji, Gennaro De Pascale, Valeria Enciso Prieto, Mervyn Mer, Elyce Sheehan, Prashant Nasa, Goran Zangana, Kostoula Arvaniti, Alexis Tabah, Gentle Sunder Shrestha, Hendrik Bracht, Arie Zainul Fatoni, Khalid Abidi…
    Citation: Critical Care 2025 29:440

    The original article was published in Critical Care 2024 28:381

  3. Combined nutrition and rehabilitation is a top research priority for ICU-acquired weakness, yet the optimal strategy and clinical benefits remain unclear. This study aimed to evaluate the independent and combi...

    Authors: Tingting Wu, Yueqing Wei, Jing Xiong, Jingbing Wu, Xiuxia Lin, Yaoning Zhuang, Chenjuan Luo, Meilian Xu, Xuexian Chen, Zhizhong Lin and Hong Li
    Citation: Critical Care 2025 29:438
  4. Although goal-concordant care is central to patient-centered medicine, determining treatment preferences for incapacitated patients remains a challenge. Nearly two decades ago, algorithms were proposed to esti...

    Authors: Andrea Ferrario, Beatrix Göcking, Giovanna Brandi, Emanuela Keller and Nikola Biller-Andorno
    Citation: Critical Care 2025 29:437
  5. To assess heterogeneous treatment effects of high fresh frozen plasma (FFP) to red blood cell (RBC) transfusion ratios in patients with severe blunt trauma and to identify subgroups that derive the greatest su...

    Authors: Gaku Fujiwara, Kosuke Inoue, Wataru Ishii, Tadashi Echigo, Shoji Yokobori, Naoto Shiomi, Naoya Hashimoto, Shigeru Ohtsuru and Yohei Okada
    Citation: Critical Care 2025 29:436
  6. Antibiotic resistance has emerged as one of the most important factors influencing the outcomes of patients with life-threatening infections in the ICU. The increasing prevalence of antibiotic-resistant infect...

    Authors: Scott T. Micek, M. Cristina Vazquez Guillamet, Daniel Reynolds, Sarah Matuszak, Lauren Kolodziej and Marin H. Kollef
    Citation: Critical Care 2025 29:434
  7. Elevated circulating endothelial cells (CECs), released from monolayers after insult, have been implicated in worse outcomes in ARDS and COVID-19, however there is no consensus proteomic phenotype that define ...

    Authors: Ana C. Costa Monteiro, Harry Pickering, Aartik Sarma, Clove S. Taylor, Meagan M. Jenkins, Fei-Man Hsu, Brian Nadel, Ofer Levy, Lindsey R. Baden, Esther Melamed, Lauren I. R. Ehrlich, Grace A. McComsey, Rafick P. Sekaly, Charles B. Cairns, Elias K. Haddad, Albert C. Shaw…
    Citation: Critical Care 2025 29:432
  8. Necrotizing soft tissue infections (NSTIs) are uncommon, yet rapidly progressive and potentially fatal conditions. However, evidence-based guidance on antibiotic therapy remains limited. Current recommendation...

    Authors: Caroline Charlier, Bérénice Souhail, Stéphane Dauger, Paul-Louis Woerther, Alexandre Bleibtreu, Marion Caseris, Olivier Chosidow, Chloé Bertolus, Camille Hua, Gentiane Monsel, Asmaa Tazi, Tomas Urbina, Benjamin Vérillaud, Philippe Montravers, Raphaël Lepeule and Nicolas de Prost
    Citation: Critical Care 2025 29:431
  9. The interpretation of brain tissue oxygen tension (PbtO₂) in neurocritical care remains controversial, particularly during hyperoxemic conditions. In this comment on the article by Bögli et al., we propose tha...

    Authors: Gurgen Harutyunyan Hovhanisyan, Garnik Harutyunyan Jaghatspanyan and Suren Soghomonyan
    Citation: Critical Care 2025 29:430
  10. Acute kidney injury (AKI) is a significant complication among critically ill patients, particularly those with sepsis, yet no specific therapies exist. Progress in some diseases has been achieved by analyzing ...

    Authors: Dana Y. Fuhrman, Towia A. Libermann, Neil A. Hukriede, Luca Molinari, Samir M. Parikh and John A. Kellum
    Citation: Critical Care 2025 29:427
  11. Sepsis remains a leading cause of global mortality, primarily driven by microvascular collapse stemming from severe vascular endothelial injury. Within this pathology, the dramatic depletion of Apolipoprotein ...

    Authors: Kailin Guo, Chang Hu, Le Li, Xiao Liu, Yaohui Liu, Dongsu Zhang, Yujie Fang, Yiming Li and Bo Hu
    Citation: Critical Care 2025 29:426
  12. Delirium is a prevalent neuropsychiatric syndrome during critical illness and is associated with prolonged hospitalization, increased mortality, and post-ICU cognitive decline. It is hypothesized to result fro...

    Authors: Ryan Smith, Fiona Harrison, Julie Bastarache, Shawniqua Williams Roberson, Elma Zaganjor, Pratik Pandharipande, Todd Rice and Wes Ely
    Citation: Critical Care 2025 29:424
  13. Burn injuries are complex and devastating traumas that trigger a profound systemic metabolic response, characterized by hyperglycemia, insulin resistance, and a hypermetabolic state. Notably, hyperglycemia is ...

    Authors: Fadi Khalaf, Daniella Touma, Sean Saldanha, Georges Khalaf, Dalia Barayan and Marc G. Jeschke
    Citation: Critical Care 2025 29:423
  14. Advances in critical care have shifted the focus from survival alone to addressing Post-Intensive Care Syndrome (PICS), which includes persistent physical, cognitive, and psychological challenges after dischar...

    Authors: Sourav Chatterjee, Swagata Tripathy, Subhasish Nayak, Reena Chakravarty and Parnandi Bhaskar Rao
    Citation: Critical Care 2025 29:421
  15. It has been demonstrated that patient-specific intracranial pressure (ICP) thresholds are possible to derive using the function intersectionality between ICP and cerebrovascular reactivity (CVR). Such individu...

    Authors: Kevin Y. Stein, Donald Griesdale, Mypinder Sekhon, Francis Bernard, Clare Gallagher, Eric P. Thelin, Rahul Raj, Marcel Aries, Logan Froese, Andreas H. Kramer and Frederick A. Zeiler
    Citation: Critical Care 2025 29:420
  16. Post-sepsis syndrome (PSS) encompasses a range of long-term complications, including immune dysregulation, chronic inflammation, and neuromuscular impairment, that persist beyond the resolution of the acute se...

    Authors: Gabriel-Petre Gorecki, Andrei Bodor, Marius-Bogdan Novac, Dan-Gabriel Costea, Daniel-Ovidiu Costea, Andreea-Cristina Costea, Cătălin-Nicolae Grasa and Dana-Rodica Tomescu
    Citation: Critical Care 2025 29:418
  17. Patients with septic shock are high risk for developing acute kidney injury (AKI), with its associated morbidity. This systematic review assessed the evidence for an effect on renal outcomes from choice of vas...

    Authors: Rory McDonald, Michael Burns, Adrian Wong, Carolyn Smith, Marlies Ostermann and Sam Hutchings
    Citation: Critical Care 2025 29:417

    The Matters Arising to this article has been published in Critical Care 2025 29:439

  18. Authors: Francesca Fiorelli, Christophe Vandenbriele, Hatem Soliman Aboumarie, Georgios Georgovasilis, Tim Jackson, Ana Sofia da Costa Pinto, Olaf Maunz, Fernando Riesgo Gil, Waqas Akhtar, Jonathan Aron, Charlie Cox, Vasileios Panoulas, Donna Hall, Alexander Rosenberg, Maurizio Passariello and Brijesh V. Patel
    Citation: Critical Care 2025 29:415
  19. Aneurysmal subarachnoid hemorrhage is a critical condition with high case-fatality and lasting impacts on survivors. Acute events that are the direct result of aneurysm rupture, such as acute ischemia, elevate...

    Authors: Katharina M. Busl, Elisa Gouvea Bogossian, Jan Claassen, Raimund Helbok, Jose Javier Provencio, Chiara Robba, Mervyn D. I. Vergouwen, Stefan Wolf, Eliza R. Zanier and Giuseppe Citerio
    Citation: Critical Care 2025 29:414
  20. Autoimmune hemolytic anemia (AIHA) is a rare but potentially life-threatening condition requiring intensive care unit (ICU) admission in severe cases. While corticosteroids and immunosuppressants are standard ...

    Authors: Jean-Baptiste Destival, Tomas Urbina, Wulfran Bougouin, Judith Leblanc, Sacha Seksik, Delphine Gobert, Vincent Bonny, Louai Missri, Jean-Luc Baudel, Juliette Bernier, Hafid Ait-Oufella, Eric Maury, Olivier Fain and Jérémie Joffre
    Citation: Critical Care 2025 29:412
  21. It is difficult to determine the optimal timing of salvage therapies, such as initiation of renal replacement therapies (RRT), using non-experimental designs. Therefore, using timing of RRT as a motivating exa...

    Authors: Elizabeth Landzberg, Alexis Ogdie, Christopher Yarnell, Michael O. Harhay and Nadir Yehya
    Citation: Critical Care 2025 29:411
  22. The Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) order. aims to prevent the initiation of inappropriate, aggressive interventions in patients with a poor prognosis, highlighting the need to assess inten...

    Authors: Asiah Rugaan, Muath Mobarki, Soltan Mohammad Hamida, Masood Iqbal, Manar Alotibi, Tafe Abdulelah Howsawi, Sulafah Reda, Hanan Abdullah Alzhrani, Asmaa Saeed Almadani and Adeel Ahmed Khan
    Citation: Critical Care 2025 29:410
  23. Esophageal pressure monitoring, which enables the estimation of transpulmonary pressure, has been proposed to personalize ventilator settings, particularly positive end-expiratory pressure (PEEP), in patients ...

    Authors: Dara Chean, Antonin Courtais, Bertrand Pavlovsky, Elise Yvin, Christophe Desprez, Mathilde Taillantou-Candau, Lise Piquilloud, Jean-Christophe Richard, Alain Mercat and François M. Beloncle
    Citation: Critical Care 2025 29:409
  24. Sepsis is a major global health concern influenced by both biological sex and socially constructed gender roles, which can affect disease susceptibility, progression, treatment and outcomes. Evidence on sex-sp...

    Authors: Norman Rose, Islam Agrama, Irit Nachtigall, Mathias W. Pletz, Jenny Rosendahl, Ha-Yeun Chung, Christina E. Zielinski, Diana Dudziak, Melissa Spoden, Patrik Dröge, Stefan Hagel and Carolin Fleischmann-Struzek
    Citation: Critical Care 2025 29:408
  25. Citrate accumulation (CA) is a feared complication in critically ill patients undergoing regional citrate anticoagulation (RCA) for continuous renal replacement therapy (CRRT). This study aimed to describe the...

    Authors: Frank Bidar, Nicolas Chardon, Quentin Darnajoux, Matthieu Petit, Jean-Luc Fellahi, Frederic Aubrun, Laurent Argaud, Jean-Christophe Richard, Frederic Dailler, Florent Wallet and Thomas Rimmelé
    Citation: Critical Care 2025 29:407
  26. Post-extubation stridor is a common complication of endotracheal intubation in ICU. This study aimed to assess whether a series of pre-extubation upper airway ultrasound measurements using shear wave elastogra...

    Authors: Margaux Machefert, Guillaume Prieur, Carlos Díaz López, Claire Dubois, Guillaume Schnell, Elise Artaud-Macari, Bouchra Lamia, Yann Combret and Clément Medrinal
    Citation: Critical Care 2025 29:406
  27. Optimal fluid management in critically ill patients varies across different phases of care. This study examined the feasibility of adding a restrictive fluid strategy with early de-escalation to standard care ...

    Authors: Thummaporn Naorungroj, Ukrit Prajantasen, Tewa Sanla-ead, Tanuwong Viarasilpa and Surat Tongyoo
    Citation: Critical Care 2025 29:405
  28. ECMO outcomes in COVID-19-related respiratory failure among solid organ transplant (SOT) and hematopoietic stem-cell transplant recipients (HSCT) are poorly described. We investigated: (1) whether transplant p...

    Authors: Marijke Peetermans, Alexandre Bohyn, Philippe Meersseman, Alexander Wilmer, Joost Wauters, Bart Meyns, Matthias Lubnow, Ann Belmans, Thomas Müller, Alexander P.J. Vlaar, Alain Combes and Greet Hermans
    Citation: Critical Care 2025 29:404
  29. Ventilator-associated bacterial pneumonia (VABP) is a common infection in critically ill patients in intensive care units (ICU), with attributable mortality of up to 13%, and its etiological diagnosis remains ...

    Authors: Daniele Roberto Giacobbe, Greta Cattardico, Claudia Bartalucci, Vincenzo Di Pilato, Marco Muccio, Alessandro Limongelli, Alessio Signori, Alessandra Bandera, Bruno Cacopardo, Edoardo Campanella, Alessandro Caroli, Annamaria Cattelan, Marta Colaneri, Andrea Cortegiani, Laura Curci, Gennaro De Pascale…
    Citation: Critical Care 2025 29:403
  30. Most studies on SpO2 exposure patterns focus solely on SpO2 intensity and neglect exposure duration. We systematically investigated the associations between SpO2 exposure patterns and clinical outcomes from both ...

    Authors: Xiao-Yan Ding, Hai-Ping Xu, Jing-Ru Zhang and Han Chen
    Citation: Critical Care 2025 29:402
  31. Sepsis-induced cardiomyopathy (SIM) is characterized by myocardial dysfunction, diminished catecholamine responsiveness and worse outcomes. Hypocholesterolemia is also a well-recognized prognosticator of poor ...

    Authors: Anna Kleyman, Walter Pisciotta, Charlotte Gaupp, Waqas Khaliq, Daniel Hofmaenner, David Brealey, Bernardo Bollen Pinto, Davide Tommaso Andreis, Mark Gerard Waugh, Miranda J. Melis, Muska Miller, Klea Mehmetaj, Michael Bauer, Adrian Press and Mervyn Singer
    Citation: Critical Care 2025 29:399
  32. Ultrasound-measured brachial artery reactive hyperemia (RH) is independently predictive of hospital mortality in critically ill patients with sepsis. Its association with mortality is uncertain in critically i...

    Authors: Casey R. Storms, Tristan Bice, Jimmy Zhang, Elizabeth Levy, Tetsuro Maeda, Neha Kumar, Lijo C. Illipparambil, Amy M. K. Rovitelli, Heather Clark, Orren Wexler, Michelle Malnoske, Christina Dony, Alex Z. Fe, Rebecca Shultz and Anthony P. Pietropaoli
    Citation: Critical Care 2025 29:398
  33. Gender disparities persist in medical research. This study assessed gender representation trends in first and senior authorships in the five highest-ranked critical care journals (by impact factor) over a 20-y...

    Authors: Nora Bruns, Pia Brensing, Sandra Greve, Sandra Horsch, Ursula Felderhoff-Müser, Christian Dohna-Schwake and Simone Schwarz
    Citation: Critical Care 2025 29:395
  34. The heterogeneity of sepsis represents a significant challenge to the development of personalized sepsis therapies. Sepsis subtyping has therefore emerged as an important approach to this problem, but its impa...

    Authors: Thilo Bracht, Kerstin Kappler, Malte Bayer, Franziska Grell, Karin Schork, Lars Palmowski, Björn Koos, Tim Rahmel, Dominik Ziehe, Matthias Unterberg, Lars Bergmann, Katharina Rump, Martina Broecker-Preuss, Ulrich Limper, Dietrich Henzler, Stefan Felix Ehrentraut…
    Citation: Critical Care 2025 29:392