Journal of Acute Care Surgery最新文献_第10页

Risk Factors Associated with 30-day Mortality in Patients with Postoperative Acute Kidney Injury Who Underwent Continuous Renal Replacement Therapy in the Intensive Care Unit 重症监护病房接受持续肾脏替代治疗的急性肾损伤术后患者30天死亡率的相关危险因素

Journal of Acute Care Surgery Pub Date : 2022-07-31 DOI: 10.17479/jacs.2022.12.2.47

K. Lee, K. Park, Sungho Lee, J. Jang, K. Bae

{"title":"Risk Factors Associated with 30-day Mortality in Patients with Postoperative Acute Kidney Injury Who Underwent Continuous Renal Replacement Therapy in the Intensive Care Unit","authors":"K. Lee, K. Park, Sungho Lee, J. Jang, K. Bae","doi":"10.17479/jacs.2022.12.2.47","DOIUrl":"https://doi.org/10.17479/jacs.2022.12.2.47","url":null,"abstract":"Purpose: To evaluate the risk factors associated with 30-day mortality in patients with postoperative acute kidney injury who underwent continuous renal replacement therapy (CRRT).Methods: Retrospective analysis of the medical charts of patients with postoperative acute kidney injury who underwent CRRT in the intensive care unit between April 2012 and May 2019 was conducted.Results: There were 71 patients whose average age was 64.8 years, and average Acute Physiology and Chronic Health Evaluation 2 score was 26.2. There were 37 patients who had non-trauma emergency surgery, 16 who required trauma surgery, and 18 who had elective major surgery. In most patients, CRRT was started based on Stage 3 Acute Kidney Injury Network criteria, and the mean creatinine level at the time of CRRT initiation (3.62 mg/dL). The median period from surgery to CRRT was 3 days, and the median CRRT application was 4 days. Forty-seven patients died within 30 days of receiving CRRT. Age, elective major surgery, creatinine level on initiation of CRRT, use of norepinephrine upon the initiation of CRRT, and average daily fluid balance/body weight for 3 days following the initiation of CRRT were associated with increasing 30-day mortality in univariate analysis. In multivariate analysis, age, major elective surgery, and norepinephrine use upon initiation of CRRT were identified as independent risk factors for 30-day mortality.Conclusion: Surgical patients who underwent CRRT postoperatively had a poor prognosis. The risk of death in elderly patients who have undergone major elective surgery, or are receiving norepinephrine upon initiation of CRRT should be considered.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47323652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Rectal Perforation with Transanal Evisceration of the Small Bowel: A Rare Case Report 自发性直肠穿孔伴经肛门小肠摘除术：一例罕见病例报告

Journal of Acute Care Surgery Pub Date : 2022-07-31 DOI: 10.17479/jacs.2022.12.2.74

A. Pal, Prasoon Kumar, Dhirendra Yadav, Awanish Kumar, H. Pahwa, K. Singh

引用次数: 0

Procalcitonin as a Predictive Factor for the Clinical Outcome of Patients with Coronavirus Disease 2019 降钙素原作为2019冠状病毒病患者临床预后的预测因素

Journal of Acute Care Surgery Pub Date : 2022-07-31 DOI: 10.17479/jacs.2022.12.2.53

Sungho Lee, Jung Mo Lee, Tae-Suk Choi, K. Park, K. Lee, J. Jang

{"title":"Procalcitonin as a Predictive Factor for the Clinical Outcome of Patients with Coronavirus Disease 2019","authors":"Sungho Lee, Jung Mo Lee, Tae-Suk Choi, K. Park, K. Lee, J. Jang","doi":"10.17479/jacs.2022.12.2.53","DOIUrl":"https://doi.org/10.17479/jacs.2022.12.2.53","url":null,"abstract":"Purpose: The coronavirus disease 2019 (COVID-19) pandemic continues. It has been reported that patients with bacterial coinfection have a higher mortality rate than patients without coinfection. However, there are no clear standard guidelines for the use of antibacterial drugs. Therefore, the purpose of this study was to determine the usefulness of procalcitonin, a specific indicator of bacterial infection, as a biomarker for predicting death in COVID-19 patients.Methods: This was a retrospective study of confirmed COVID-19 patients (N = 283) between December 2020 and February 2021 who survived or died. Logistic regression analysis was performed to determine whether there was an association between the level of procalcitonin and death. In addition, receiver operating characteristic curve analysis was performed to determine the usefulness of procalcitonin as a predictor of death.Results: In the non-survivor group, age, the number of patients transferred from a health care center, segment neutrophil ratio, C reactive protein, ferritin, and procalcitonin were significantly higher in the survivor group. In multivariate analysis, procalcitonin was identified as an independent factor associated with death (hazard ratio 6.162, confidential interval 2.285-26.322, p = 0.014). In addition, the predictive power of procalcitonin level and mortality was statistically significant using receiver operating characteristic curve analysis which gave an area under the curve value of 0.823, a cut-off value of 0.05, a sensitivity of 72.2%, a specificity of 87.5% (p < 0.001).Conclusion: Measurement of procalcitonin and other biomarkers may be useful to determine whether to use or discontinue use of antibacterial drugs in patients with COVID-19.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45071113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case Series of Trauma Resuscitation in the Intensive Care Unit Bypassing the Emergency Room During the Conversion to a COVID-19 Only Hospital 转为新冠肺炎专科医院期间在重症监护室绕过急诊室进行创伤复苏的病例系列

Journal of Acute Care Surgery Pub Date : 2022-07-31 DOI: 10.17479/jacs.2022.12.2.70

S. Youn, Hyemi Kwon, Sunyoung Baek, Sungyoup Hong, Younghwan Kim

引用次数: 0

Multiple Surgical Treatments for Recurrent Retroperitoneal Hemorrhage in a COVID-19 Patient with Respiratory Failure on Extracorporeal Membrane Oxygenation 体外膜氧合治疗新冠肺炎合并呼吸衰竭复发性腹膜后出血1例

Journal of Acute Care Surgery Pub Date : 2022-07-31 DOI: 10.17479/jacs.2022.12.2.77

Yong-Man Park, J. Yoo, Won-Bae Chang

引用次数: 0

COVID-19 in a Patient Previously Exposed to Toxic Disinfectant from a Humidifier 新冠肺炎患者先前接触过加湿器的有毒消毒剂

Journal of Acute Care Surgery Pub Date : 2022-07-31 DOI: 10.17479/jacs.2022.12.2.82

S. Youn, S. Hong, Sunyoung Baek, Younghwan Kim

引用次数: 0

Colloids should be Removed from the Intensive Care Unit Shelf 胶体应从重症监护病房的架子上取下

Journal of Acute Care Surgery Pub Date : 2022-07-12 DOI: 10.5005/jp-journals-10089-0011

A. A. Havaldar

引用次数: 0

Awake Extracorporeal Membrane Oxygenation 清醒体外膜氧合

Journal of Acute Care Surgery Pub Date : 2022-07-12 DOI: 10.5005/jp-journals-10089-0003

N. Achaiah, P. Natarajan, R. Shetty, S. Patangi

引用次数: 0

Challenges in Managing a Patient with Refractory Shock due to Telmisartan Overdose 替米沙坦过量引起的难治性休克患者的管理挑战

Journal of Acute Care Surgery Pub Date : 2022-07-12 DOI: 10.5005/jp-journals-10089-0001

KV Venkatesha Gupta, P. Murthy, J. A. Gopaldas, G. Ravi, Poonam P Rai

引用次数: 0

Septic? Avoid Constipation and Condition will be Better 败血性吗?避免便秘，情况会更好

Journal of Acute Care Surgery Pub Date : 2022-07-12 DOI: 10.5005/jp-journals-10089-0005

C. Sánchez

引用次数: 0