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.
[응급간호] 응급간호의 특징, 분류, 상황, 사정
[모성간호학] 난소암, 제왕절개(Ovary Cancer, Cesarean section)
DI(drug intoxication)간호과정 적용사례(성인간호학)
조선대 인강 생활속의 응급처치 족보
[케이스스터디][급성위장염][미숙아]급성위장염 케이스스터디(CaseStudy), 미숙아 케이스스터디(CaseStudy), 부분반월연골절제 케이스스터디(CaseStudy), 소아천식 케이스스터디, 요실금, 자연분만 케이스스터디
[의료사회사업론] 절단환자와 화상환자
[정형외과] 골절환자 사례