Ka Man Fong
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View article: Regional adherence to early sepsis management bundle and associated mortality in Hong Kong between 2009-2018
Regional adherence to early sepsis management bundle and associated mortality in Hong Kong between 2009-2018 Open
Background Longitudinal data on sepsis bundle adherence and associated survival at a country or regional level is scarce. Methods A population-based electronic health record database was leveraged to determine temporal trends in sepsis bun…
View article: UNDERGRADUATE CAREER EXPLORATION: PRELIMINARY INSIGHT FROM A KLANG VALLEY PRIVATE INSTITUTION
UNDERGRADUATE CAREER EXPLORATION: PRELIMINARY INSIGHT FROM A KLANG VALLEY PRIVATE INSTITUTION Open
Graduate employment remains a persistent global concern, with governments, institutions, and employers continuously seeking effective measures to enhance employability among university graduates. In Malaysia, this issue has gained signific…
View article: Association between time to surgery and hospital mortality in patients with community-acquired limb necrotizing fasciitis: an 11-year multicenter retrospective cohort analysis
Association between time to surgery and hospital mortality in patients with community-acquired limb necrotizing fasciitis: an 11-year multicenter retrospective cohort analysis Open
Background Necrotizing fasciitis (NF) is a rare but potentially life-threatening soft tissue infection. The objective of this study was to assess the association between timely surgery within 6 h and hospital mortality in patients with lim…
View article: Population Sepsis Incidence, Mortality, and Trends in Hong Kong Between 2009 and 2018 Using Clinical and Administrative Data
Population Sepsis Incidence, Mortality, and Trends in Hong Kong Between 2009 and 2018 Using Clinical and Administrative Data Open
Background Sepsis surveillance using electronic health record (EHR)–based data may provide more accurate epidemiologic estimates than administrative data, but experience with this approach to estimate population-level sepsis burden is lack…
View article: Comparison of COVID-19 with influenza A in the ICU: a territory-wide, retrospective, propensity matched cohort on mortality and length of stay
Comparison of COVID-19 with influenza A in the ICU: a territory-wide, retrospective, propensity matched cohort on mortality and length of stay Open
Objectives Direct comparisons between COVID-19 and influenza A in the critical care setting are limited. The objective of this study was to compare their outcomes and identify risk factors for hospital mortality. Design and setting This wa…
View article: Glycemic control in critically ill patients with or without diabetes
Glycemic control in critically ill patients with or without diabetes Open
Background Early randomized controlled trials have demonstrated the benefits of tight glucose control. Subsequent NICE-SUGAR study found that tight glucose control increased mortality. The optimal glucose target in diabetic and nondiabetic…
View article: Steroid, ascorbic acid, and thiamine in adults with sepsis and septic shock: a systematic review and component network meta-analysis
Steroid, ascorbic acid, and thiamine in adults with sepsis and septic shock: a systematic review and component network meta-analysis Open
To assess the effect from individual component in combinations of steroid, ascorbic acid, and thiamine on outcomes in adults with sepsis and septic shock with component network meta-analysis (NMA). We searched PubMed, EMBASE, and the Cochr…
View article: The value of Doppler assessment in transthoracic echocardiography in critically ill patients
The value of Doppler assessment in transthoracic echocardiography in critically ill patients Open
Background: A detailed echo with Doppler assessment provides important information on top of structural evaluation and eyeballing of myocardium contractility by focused echocardiography, which has been widely practised in the intensive car…
View article: Interpretable Machine Learning Model for Mortality Prediction in ICU: A Multicenter Study
Interpretable Machine Learning Model for Mortality Prediction in ICU: A Multicenter Study Open
Background: Researchers have long been struggling to improve the disease severity score in mortality prediction in ICU. The digitalization of medical health records and advancement of computation power have promoted the use of machine lear…
View article: Bedside decannulation of peripheral VA-ECMO using percutaneous Perclose ProGlide post-close technique
Bedside decannulation of peripheral VA-ECMO using percutaneous Perclose ProGlide post-close technique Open
Instead of open arteriotomy repair, successful percutaneous Perclose ProGlide post-close technique has been reported for veno-arterial extracorporeal membrane oxygenation (VA-ECMO) decannulation. However, the precaution, preparation and pr…
View article: A special cause of acute coronary syndrome in patients supported with VA ECMO
A special cause of acute coronary syndrome in patients supported with VA ECMO Open
A transesophageal echocardiography was performed for a patient supported with peripheral veno-arterial extracorporeal membrane oxygenation (VA ECMO) for his acute decompensated heart failure. One of the main aims of echocardiography was to…
View article: Positive fluid balance and mortality in adult patients treated with extracorporeal membrane oxygenation: A retrospective study
Positive fluid balance and mortality in adult patients treated with extracorporeal membrane oxygenation: A retrospective study Open
Background Intravenous fluid is important for resuscitation and maintenance of circuit flow in patients with extracorporeal membrane oxygenation, but fluid overload is widely recognized as detrimental in critically ill patients. This study…
View article: Update on management of acute respiratory distress syndrome
Update on management of acute respiratory distress syndrome Open
Acute respiratory distress syndrome (ARDS) is a frequent and life-threatening condition in intensive care units (ICUs). Management of ARDS remains challenging despite years of research. Morbidity and mortality are not only caused by the sy…