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분야
의약학 > 외과학
저자
조진행 ( Jin Haeng Cho ) , 이종석 ( Jong Seok Lee ) , 정기영 ( Ki Young Jeong ) , 최한성 ( Han Sung Choi ) , 홍훈표 ( Hoon Pyo Hong ) , 고영관 ( Young Gwan Ko )
발행기관
대한응급의학회
간행물정보
대한응급의학회지 2017년, 제28권 제5호, 422~430페이지(총9페이지)
파일형식
18404575.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: This study examined the availability of the age shock index in an assessment of high risk patients with acute cholecystitis in an emergency department.
    Methods: Consecutive data of patients who presented to the emergency department with acute cholecystitis during the period, January 2012 and March 2017, were reviewed retrospectively. Univariate and multivariate analyses were performed to determine the relationship between the severity of acute cholecystitis and the clinical factors.
    Results: A total of 242 patients with acute cholecystitis were included in this study. From univariate analyses, age, Murphy’s sign, symptom duration, heart rate, respiratory rate, age shock index, hypertension, diabetes, leukocytes, C-reactive protein and blood urea nitrogen were found to be related to the severity of acute cholecystitis. From multivariate analysis, the symptom duration (OR, 4.271; 95% CI, 2.672-6.827), respiratory rate (OR, 1.482; 95% CI, 1.189-1.847), age shock index (OR, 1.609; 95% CI, 1.060-2.442, 10-point interval), leukocytes (OR, 1.283; 95% CI, 1.156-1.424), and diabetes (OR, 4.590; 95% CI, 1.507-13.976) had a positive relationship with the severity of acute cholecystitis.
    Conclusion: The age shock index, which is calculated easily using the patient’s age, heart rate, and systolic blood pressure, can be a predicting factor of severe acute cholecystitis in an emergency department.
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