دورية أكاديمية
[Interest of ambulatory simplified acute physiology score (ASAPS) applied to patients admitted in an intensive care unit of an infectious diseases unit in Dakar].
| العنوان: | [Interest of ambulatory simplified acute physiology score (ASAPS) applied to patients admitted in an intensive care unit of an infectious diseases unit in Dakar]. |
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| عنوان ترانسليتريتد: | Intérêt de l'indice de gravité simplifié ambulatoire (IGSA) appliqué à des patients admis dans l'unité de soins intensifs (USI) d'un service de pathologie infectieuse à Dakar. |
| المؤلفون: | Dia NM; Clinique des maladies infectieuses Ibrahima Diop Mar, CHNU de Fann, BP : 5035, Dakar-Fann, Sénégal, ndeyemery@gmail.com., Diallo I, Manga NM, Diop SA, Fortes-Deguenonvo L, Lakhe NA, Ka D, Seydi M, Diop BM, Sow PS |
| المصدر: | Bulletin de la Societe de pathologie exotique (1990) [Bull Soc Pathol Exot] 2015 Aug; Vol. 108 (3), pp. 175-80. Date of Electronic Publication: 2015 Jan 20. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | French |
| بيانات الدورية: | Publisher: Lavoisier Country of Publication: France NLM ID: 9212564 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1961-9049 (Electronic) Linking ISSN: 00379085 NLM ISO Abbreviation: Bull Soc Pathol Exot Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [Paris] : Lavoisier Original Publication: Paris : Masson, [1990- |
| مواضيع طبية MeSH: | Infectious Disease Medicine* , Intensive Care Units*/statistics & numerical data , Severity of Illness Index*, Communicable Diseases/*epidemiology , Hospitals, University/*statistics & numerical data, Acquired Immunodeficiency Syndrome/epidemiology ; Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Female ; Hospital Mortality ; Humans ; Length of Stay/statistics & numerical data ; Malaria/epidemiology ; Male ; Meningoencephalitis/epidemiology ; Middle Aged ; Retrospective Studies ; Seasons ; Senegal/epidemiology ; Sex Distribution ; Socioeconomic Factors ; Survival Rate ; Tetanus/epidemiology ; Tuberculosis/epidemiology ; Young Adult |
| مستخلص: | The evaluation of patients by a scale of gravity allows a better categorization of patients admitted in intensive care unit (ICU). Our study had for objective to estimate interest of Ambulatory Simplified Acute Physiologic Score (ASAPS) applied to patients admitted in ICU of infectious diseases department of FANN hospital. It was about a descriptive and analytical retrospective study, made from the data found in patients' files admitted into the USI infectious diseases department of FANN hospital in Dakar, from January 1(st), 2009 till December 31st, 2009.The data of 354 patients' files were analyzed. The sex-ratio was 1.77 with an average age of 37.6 years ± 19.4 years old [5-94 years]. The majority of the patients were unemployed paid (39.6%). The most frequent failures were the following ones: neurological (80.5%), cardio-respiratory (16.7%). The average duration of stay was 6.2 days ± 8.2 days going of less than 24 hours to more than 10 weeks. The deaths arose much more at night (53.1%) than in the daytime (46.9%) and the strongest rate of death was recorded in January (61.5%), most low in October (26.7%). The global mortality was 48.3%. The rate of lethality according to the highest main diagnosis was allocated to the AIDS (80.5%). The average ambulatory simplified acute physiology score was 5.3 ± 3.6 with extremes of 0 and 18. The deaths in our series increased with this index (p = 0.000005). The female patients had a rate of lethality higher than that of the men people, 55.5% against 44.2% (p = 0.03). In spite of a predictive score of a high survival (ASAPS < 8), certain number of patients died (n = 105) that is 61.4% of the deaths. The metabolic disturbances, hyperleukocytosis or leukopenia when realised, the presence of a chronic disease, seemed also to influence this lethality. ASAPS only, although interesting, would not good estimate the gravity of patients, where from the necessity thus of a minimum biological balance sheet. It seems better adapted for patients with a high value (ASAPS≥8). This score when it is low, is not correlated, in our study, at a high survival rate as waited in this population. |
| تواريخ الأحداث: | Date Created: 20150705 Date Completed: 20160407 Latest Revision: 20150704 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s13149-015-0418-x |
| PMID: | 26141496 |
| قاعدة البيانات: | MEDLINE |
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