دورية أكاديمية
Evaluation of prognostic value of MEDS, MEWS, and CURB-65 criteria and sepsis I and sepsis III criteria in patients with community-acquired infection in emergency department
| العنوان: | Evaluation of prognostic value of MEDS, MEWS, and CURB-65 criteria and sepsis I and sepsis III criteria in patients with community-acquired infection in emergency department |
|---|---|
| المؤلفون: | Beğenen, Maruf |
| المساهمون: | Bursa Uludağ Üniversitesi/Tıp Fakültesi/Acil Tıp Anabilim Dalı., Bursa Uludağ Üniversitesi/Tıp Fakültesi/Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı., orcid:0000-0003-0836-7862, orcid:0000-0001-7530-1279, orcid:0000-0002-4641-9873, Durak, Vahide Aslıhan, Akalın, Emin Halis, Armağan, Erol, AAH-8846-2021, AAU-8952-2020, AAE-9483-2021, 55792633100, 57207553671, 6506464232 |
| بيانات النشر: | Sage Publications |
| سنة النشر: | 2019 |
| المجموعة: | Açık Erişim@BUU (Bursa Uludağ Üniversitesi) |
| مصطلحات موضوعية: | Emergency department, Sepsis, Mortality, Organ failure assessment, United-States, Septic shock, Care, Definitions, Performance, Prediction, Pneumonia, Trends, Emergency medicine, Intensive Care Unit, Sepsis (Diptera), Adult, Aged, Article, Breathing rate, Charlson comorbidity index, Community acquired infection, Controlled study, CURB-65 score, Diagnostic test accuracy study, Emergency ward, Female, Hospital mortality, Heart rate, Hospitalization, Human |
| الوصف: | Background: Early and effective treatment of patients with sepsis requires early recognition in emergency department and understanding the severity of the disease. Many studies have been conducted for this purpose, and many of scoring systems have been developed that provide early recognition of these patients and show their severity. Objectives: The aim of this study is to evaluate the efficacy of the scoring systems used to determine the mortality of patients with infections admitted in emergency department. Methods: In all, 400 patients who admitted to Uludag University Hospital Emergency Department were prospectively included in this study. In addition to Systemic Inflammatory Response Syndrome score, Quick SOFA score, Mortality in Emergency Department Sepsis score, Modified Early Warning Score, and Charlson Comorbidity Index score in all patients, CURB-65 score was calculated in the patients diagnosed with pneumonia. It has been aimed to determine the power of these scores' predictive mortality rates and their superiority to each other. Results: It was found that Mortality in Emergency Department Sepsis score and Quick SOFA score could be used with similar efficacy (respectively p = 0.761 and p = 0.073) in determining early mortality in emergency department (5th and 14th days) and that MEDS score was more effective (p < 0.001) in predicting the 28th-day mortality. While these recommendations were valid in patients diagnosed with pneumonia, it was determined that CURB-65 score could also be used to estimate 5th-, 14th-, and 28th-day mortalities (respectively, for the 5th day, p = 0.894 and p = 0.256; for the 14th day, p = 0.425 and p = 0.098; and for the 28th day, p = 0.095 and p = 0.158). The power of Systemic Inflammatory Response Syndrome score, previously used to identify sepsis, in predicting mortality was detected to be lower. Conclusion: Mortality in Emergency Department Sepsis score and Quick SOFA score could be used with similar efficacy in determining early mortality in emergency department. ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1024-9079 2309-5407 |
| العلاقة: | Makale - Uluslararası Hakemli Dergi; Hong Kong Journal of Emergency Medicine; Sanayi; Beğenen, M. vd. (2020). "Evaluation of prognostic value of MEDS, MEWS, and CURB-65 criteria and sepsis I and sepsis III criteria in patients with community-acquired infection in emergency department". Hong Kong Journal of Emergency Medicine, 27(5), 277-285.; https://doi.org/10.1177/1024907919844866Test; http://hdl.handle.net/11452/30166Test; 000559534200004; 2-s2.0-85065173108; 277; 285; 27 |
| DOI: | 10.1177/1024907919844866 |
| الإتاحة: | https://doi.org/10.1177/1024907919844866Test http://hdl.handle.net/11452/30166Test |
| حقوق: | info:eu-repo/semantics/openAccess ; Atıf Gayri Ticari Türetilemez 4.0 Uluslararası ; http://creativecommons.org/licenses/by-nc-nd/4.0Test/ |
| رقم الانضمام: | edsbas.7A5DF084 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 10249079 23095407 |
|---|---|
| DOI: | 10.1177/1024907919844866 |