Prognostic Factors for Mortality in Emergency Department Patients with Hypotension

Park, Deuk Hyun; Ha, Young Rock; Kim, Young Sik; Shin, Tae Yong; Oh, Sung Han; Choi, Sung Sil; No, Suk Young

doi:10.4266/kjccm.2011.26.2.57

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…계들이다. [3][4][5][6][7][8][9][10][11][12][13] 즉, acute physiology and chronic health evaluation II (APACHEII) score, [5] simplified acute physiology score II (SAPSII), [6] sequential organ failure assessment (SOFA) [7] 등이 현재에도 널리 유용하게 사용되고 있는 중환자실용 점수 계산식의 예후 예측 방법들이다. [4] 7).…”

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Analysis of Prognostic Factors Early in Emergency Department (ED) and Late in Intensive Care Unit (ICU) of the Critically Ill Patients Admitted in the ICU via ED

Jeong

Jun

et al. 2012

Korean J Crit Care Med

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Background: Many critically ill patients in the ED are hospitalized to the ICU, but most prognosis predicting systems have been developed based on the physiochemical variables of the critically ill in the ICU. The objective of this study is to identify prognostic predictors early in the ED when compared with well-known predictors in the ICU and estimate their predictive abilities.Methods: An observational prospective study was performed in an urban ED. Information of all the critically ill patients admitted to the ICU via the ED including vital signs, laboratory results, and physiochemical scoring systems were checked during 6 months and divided into the early stage for the ED and the late stage in the ICU. Poor outcome was defined as 28-days mortality. After checking for significant predictors among them through univariate analysis, we identified the most discriminating predictors in each stage using logistic regression and a decision tree analysis.Results: A total of 246 patients were enrolled. In univariate analysis, the significant predictors including central venous pressure, fraction of inspired oxygen (FiO2), pressure of arterial oxygen/fraction of inspired oxygen (PaO2/FiO2), albumin, mortality in emergency department sepsis, acute physiology and chronic health evaluation II, simplified acute physiology score II, and sequential organ failure assessment scores were identified in the early stage, while PaO2/FiO2, base excess, unmeasured anion, albumin, anion gap, albumin-corrected anion gap, APACHEII, SAPSII, SOFA, and rapid emergency medicine score were identified in the late stage. Through a decision tree analysis, PaO2/FiO2 and SAPSII were revealed as the most discriminating predictors in the ED and ICU, respectively.Conclusions: The prognosis discriminating predictor in critical patients was different between the ED and ICU. Emergency physicians should pay more attention to the critical patients having low PaO2/FiO2.

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Analysis of Prognostic Factors Early in Emergency Department (ED) and Late in Intensive Care Unit (ICU) of the Critically Ill Patients Admitted in the ICU via ED

Jeong

Jun

et al. 2012

Korean J Crit Care Med

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Death below 2 g/dL of Hemoglobin Concentrations: As an Independent Predictor of Death

Park¹,

Kang²,

Park³

et al. 2013

Soonchunhyang Med Sci

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Fifty three years old, healthy female patient had presented an acute severe anemia after intestinal bleeding within 2 days. She was hemodynamically stable even during extreme hemodilution with hemoglobin (Hb) below 3 g/dL. However, her condition deteriorated dramatically after Hb nearly 2 g/dL. The patient died solely of anemia at a hemoglobin concentration of 1.2 g/dL. We presumed the hemoglobin concentrations below 2 g/dL are maximally life-threatening; this is the terminal hemoglobin threshold that the hemoglobin concentration could be an independent predictor of death.

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Prognostic Factors for Mortality in Emergency Department Patients with Hypotension

Cited by 2 publications

References 30 publications

Analysis of Prognostic Factors Early in Emergency Department (ED) and Late in Intensive Care Unit (ICU) of the Critically Ill Patients Admitted in the ICU via ED

Analysis of Prognostic Factors Early in Emergency Department (ED) and Late in Intensive Care Unit (ICU) of the Critically Ill Patients Admitted in the ICU via ED

Death below 2 g/dL of Hemoglobin Concentrations: As an Independent Predictor of Death

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