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Application of a modified sequential organ failure assessment score to critically ill patients BJMBR
Ñamendys-Silva,S.A.; Silva-Medina,M.A.; Vásquez-Barahona,G.M.; Baltazar-Torres,J.A.; Rivero-Sigarroa,E.; Fonseca-Lazcano,J.A.; Domínguez-Cherit,G..
The purpose of the present study was to explore the usefulness of the Mexican sequential organ failure assessment (MEXSOFA) score for assessing the risk of mortality for critically ill patients in the ICU. A total of 232 consecutive patients admitted to an ICU were included in the study. The MEXSOFA was calculated using the original SOFA scoring system with two modifications: the PaO2/FiO2 ratio was replaced with the SpO2/FiO2 ratio, and the evaluation of neurologic dysfunction was excluded. The ICU mortality rate was 20.2%. Patients with an initial MEXSOFA score of 9 points or less calculated during the first 24 h after admission to the ICU had a mortality rate of 14.8%, while those with an initial MEXSOFA score of 10 points or more had a mortality rate...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sequential organ failure assessment score; Organ dysfunction; Critically ill patients; Mortality; Intensive care unit survival; MEXSOFA.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2013000200186
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Pulmonary hypertension due to acute respiratory distress syndrome BJMBR
Ñamendys-Silva,S.A.; Santos-Martínez,L.E.; Pulido,T.; Rivero-Sigarroa,E.; Baltazar-Torres,J.A.; Domínguez-Cherit,G.; Sandoval,J..
Our aims were to describe the prevalence of pulmonary hypertension in patients with acute respiratory distress syndrome (ARDS), to characterize their hemodynamic cardiopulmonary profiles, and to correlate these parameters with outcome. All consecutive patients over 16 years of age who were in the intensive care unit with a diagnosis of ARDS and an in situ pulmonary artery catheter for hemodynamic monitoring were studied. Pulmonary hypertension was diagnosed when the mean pulmonary artery pressure was >25 mmHg at rest with a pulmonary artery occlusion pressure or left atrial pressure <15 mmHg. During the study period, 30 of 402 critically ill patients (7.46%) who were admitted to the ICU fulfilled the criteria for ARDS. Of the 30 patients with ARDS,...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Pulmonary hypertension; Acute respiratory distress syndrome; Pulmonary artery catheter; Intensive care unit.
Ano: 2014 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2014001000904
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