원저 : 응급의료센터로 내원한 패혈쇼크 환자에서 각 중증도 점수체계의 예후 도구로서의 유용성 평가
분야
의약학 > 외과학
저자
이형주 ( Hyoung Ju Lee ) , 정태녕 ( Tae Nyoung Chung ) , 이재영 ( Jae Young Lee ) , 배진건 ( Jin Kun Bae ) , 김의중 ( Eui Chung Kim ) , 최성욱 ( Sung Wook Choi ) , 김옥준 ( Ok Jun Kim ) , 조윤경 ( Yun Kyung Cho )
발행기관
대한응급의학회
간행물정보
대한응급의학회지 2012년, 제23권 제6호, 825~830페이지(총6페이지)
파일형식
18402538.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: The aim of the study was to validate abbreviated mortality in emergency department sepsis (MEDS) scoring system by comparing it with original MEDS score and to assess the prognostic value of other prognostic factor for sepsis patients including multiple organ dysfunction score (MODS), sepsis-related organ failure assessment (SOFA) score, and serum procalcitonin level. Methods: Adult patients visiting emergency department (ED) with evidence of septic shock were enrolled to the study. MEDS score, MODS, and SOFA score were calculated based on initial clinical data. Receiver-operating characteristics (ROC) analyses were used to assess the prognostic factors for predicting mortality. Kaplan-Meier survival analyses (KMSA) were used to determine whether the prognostic factors had correlation with survival time. Results: Only MODS showed significant predicting power for mortality (p=0.003, area under curve=0.625). Estimated median survival of all the patients calculated by KMSA was 11.0 (standard error 1.7) days, and predefined criteria of all prognostic factors showed significant differences in survival time. Conclusion: MEDS, abbreviated MEDS, MODS, and SOFA scoring systems were useful factors for predicting survival time of septic shock patients visiting ED.
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