Performance Assessment of the Mortality in Emergency Department Sepsis Score, Modified Early Warning Score, Rapid Emergency Medicine Score, and Rapid Acute Physiology Score in Predicting Survival Outcomes of Adult Renal Abscess Patients in the Emergency Department
المؤلفون المشاركون
Chang, Su-Han
Hsieh, Chiao-Hsuan
Weng, Yi-Ming
Hsieh, Ming-Shun
Goh, Zhong Ning Leonard
Chen, Hsien-Yi
Chang, Tung
Ng, Chip-Jin
Seak, Joanna Chen-Yeen
Seak, Chen-Ken
Seak, Chen-June
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-09-19
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Renal abscess is a relatively uncommon yet debilitating and potentially fatal disease.
There is no clearly defined, objective risk stratification tool available for emergency physicians’ and surgeons’ use in the emergency department (ED) to quickly determine the appropriate management strategy for these patients, despite early intervention having a beneficial impact on survival outcomes.
Objective.
This case control study evaluates the performance of Mortality in Emergency Department Sepsis Score (MEDS), Modified Early Warning Score (MEWS), Rapid Emergency Medicine Score (REMS), and Rapid Acute Physiology Score (RAPS) in predicting risk of mortality in ED adult patients with renal abscess.
This will help emergency physicians, surgeons, and intensivists expedite the time-sensitive decision-making process.
Methods.
Data from 152 adult patients admitted to the EDs of two training and research hospitals who had undergone a contrast-enhanced computed tomography scan of the abdomen and was diagnosed with renal abscess from January 2011 to December 2015 were analyzed, with the corresponding MEDS, MEWS, REMS, RAPS, and mortality risks calculated.
Ability to predict patient mortality was assessed via receiver operating curve analysis and calibration analysis.
Results.
MEDS was found to be the best performing physiologic scoring system, with sensitivity, specificity, and accuracy of 87.50%, 88.89%, and 88.82%, respectively.
Area under receiver operating characteristic curve (AUROC) value was 0.9440, and negative predictive value was 99.22% with a cutoff of 9 points.
Conclusion.
Our study is the largest of its kind in examining ED patients with renal abscess.
MEDS has been demonstrated to be superior to MEWS, REMS, and RAPS in predicting mortality for this patient population.
We recommend its use for evaluation of disease severity and risk stratification in these patients, to expedite identification of critically ill patients requiring urgent intervention.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Chang, Su-Han& Hsieh, Chiao-Hsuan& Weng, Yi-Ming& Hsieh, Ming-Shun& Goh, Zhong Ning Leonard& Chen, Hsien-Yi…[et al.]. 2018. Performance Assessment of the Mortality in Emergency Department Sepsis Score, Modified Early Warning Score, Rapid Emergency Medicine Score, and Rapid Acute Physiology Score in Predicting Survival Outcomes of Adult Renal Abscess Patients in the Emergency Department. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1128209
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Chang, Su-Han…[et al.]. Performance Assessment of the Mortality in Emergency Department Sepsis Score, Modified Early Warning Score, Rapid Emergency Medicine Score, and Rapid Acute Physiology Score in Predicting Survival Outcomes of Adult Renal Abscess Patients in the Emergency Department. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1128209
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Chang, Su-Han& Hsieh, Chiao-Hsuan& Weng, Yi-Ming& Hsieh, Ming-Shun& Goh, Zhong Ning Leonard& Chen, Hsien-Yi…[et al.]. Performance Assessment of the Mortality in Emergency Department Sepsis Score, Modified Early Warning Score, Rapid Emergency Medicine Score, and Rapid Acute Physiology Score in Predicting Survival Outcomes of Adult Renal Abscess Patients in the Emergency Department. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1128209
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1128209
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر