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Commonly Used Severity Scores Are Not Good Predictors of Mortality in Sepsis from Severe Leptospirosis : A Series of Ten Patients
Joint Authors
Filos, Kriton S.
Karanikolas, Menelaos
Marangos, Markos
Velissaris, Dimitrios
Flaris, Nikolaos
Fligou, Fotini
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-21
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Severe leptospirosis, also known as Weil's disease, can cause multiorgan failure with high mortality.
Scoring systems for disease severity have not been validated for leptospirosis, and there is no documented method to predict mortality.
Methods.
This is a case series on 10 patients admitted to ICU for multiorgan failure from severe leptospirosis.
Data were collected retrospectively, with approval from the Institution Ethics Committee.
Results.
Ten patients with severe leptospirosis were admitted in the Patras University Hospital ICU in a four-year period.
Although, based on SOFA scores, predicted mortality was over 80%, seven of 10 patients survived and were discharged from the hospital in good condition.
There was no association between SAPS II or SOFA scores and mortality, but survivors had significantly lower APACHE II scores compared to nonsurvivors.
Conclusion.
Commonly used severity scores do not seem to be useful in predicting mortality in severe leptospirosis.
Early ICU admission and resuscitation based on a goal-directed therapy protocol are recommended and may reduce mortality.
However, this study is limited by retrospective data collection and small sample size.
Data from large prospective studies are needed to validate our findings.
American Psychological Association (APA)
Velissaris, Dimitrios& Karanikolas, Menelaos& Flaris, Nikolaos& Fligou, Fotini& Marangos, Markos& Filos, Kriton S.. 2012. Commonly Used Severity Scores Are Not Good Predictors of Mortality in Sepsis from Severe Leptospirosis : A Series of Ten Patients. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-479255
Modern Language Association (MLA)
Velissaris, Dimitrios…[et al.]. Commonly Used Severity Scores Are Not Good Predictors of Mortality in Sepsis from Severe Leptospirosis : A Series of Ten Patients. Critical Care Research and Practice No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-479255
American Medical Association (AMA)
Velissaris, Dimitrios& Karanikolas, Menelaos& Flaris, Nikolaos& Fligou, Fotini& Marangos, Markos& Filos, Kriton S.. Commonly Used Severity Scores Are Not Good Predictors of Mortality in Sepsis from Severe Leptospirosis : A Series of Ten Patients. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-479255
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479255