Decision Tool for Predicting Outcomes in Geriatric Acute Mesenteric Ischemia
| العنوان: | Decision Tool for Predicting Outcomes in Geriatric Acute Mesenteric Ischemia |
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| المؤلفون: | Kyle C. Murphy, Andrew C. Bernard, Danielle Kay, Daniel L. Davenport |
| المصدر: | The American Surgeon. 84:1247-1251 |
| بيانات النشر: | SAGE Publications, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Creatinine, Univariate analysis, Decision tool, business.industry, MEDLINE, 030208 emergency & critical care medicine, Retrospective cohort study, General Medicine, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Acute mesenteric ischemia, chemistry, 030220 oncology & carcinogenesis, Internal medicine, medicine, Risk of mortality, Population study, business |
| الوصف: | Acute mesenteric ischemia is a morbid disease process that is most common in elderly patients who often have multiple medical comorbidities. Intervention can progress to costly and futile care. The goal of this study was to develop a tool for practitioners to assess the risk of mortality. Patients treated at our institution over the past decade diagnosed with acute mesenteric ischemia were identified. Patients aged less than 65 years were excluded. Data were collected by retrospective chart review. Univariate analysis was used to identify significant risk factors for death. Decision tree analysis yielded a prognostic tool to assess death risk. Univariate analysis demonstrated that lactate (P ≤ 0.001) and pressor requirement (P ≤ 0.001) were predictive of death. Decision tree analysis showed that 79 per cent of patients with day of surgery (DOS) lactate ≥5.4 died postoperatively. Seventy per cent of patients with DOS lactate 1.18. Only 6.1 per cent patients with a DOS lactate |
| تدمد: | 1555-9823 0003-1348 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::f3771aa4767a062834c7365ce68fc9fa https://doi.org/10.1177/000313481808400830 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........f3771aa4767a062834c7365ce68fc9fa |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15559823 00031348 |
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