English  |  正體中文  |  简体中文  |  Items with full text/Total items : 17482/19768 (88%)
Visitors : 6309363      Online Users : 506
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/27905

    標題: Predicting the hyperglycemic crisis death (PHD) score: a new decision rule for emergency and critical care
    作者: Huang, Chien-Cheng
    Kuo, Shu-Chun
    Chien, Tsair-Wei
    Lin, Hung-Jung
    Guo, How-Ran
    Chen, Wei-Lung
    Chen, Jiann-Hwa
    Chang, Su-Hen
    Su, Shih-Bin
    貢獻者: 醫務管理系
    關鍵字: Diabetic-Ketoacidosis
    Methodological Standards
    Adult Patients
    日期: 2013-05
    上傳時間: 2014-05-26 10:48:27 (UTC+8)
    出版者: W B Saunders Co-Elsevier Inc
    摘要: Background: We investigated independent mortality predictors of hyperglycemic crises and developed a prediction rule for emergency and critical care physicians to classify patients into mortality risk and disposition groups.Methods: This study was done in a university-affiliated medical center. Consecutive adult patients (> 18 years old) visiting the emergency department (ED) between January 2004 and December 2010 were enrolled when they met the criteria of a hyperglycemic crisis. Data were separated into derivation and validation sets-the former were used to predict the latter. December 31, 2008, was the cutoff date. Thirty-day mortality was the primary endpoint.Results: We enrolled 295 patients who made 330 visits to the ED: derivation set = 235 visits (25 deaths: 10.6%), validation set = 95 visits (10 deaths: 10.5%). We found 6 independent mortality predictors: Absent tachycardia, Hypotension, Anemia, Severe coma, Cancer history, and Infection (AHA.SCI). After assigning weights to each predictor, we developed a Predicting Hyperglycemic crisis Death (PHD) score that stratifies patients into mortality-risk and disposition groups: low (0%) (95% CI, 0-0.02%): treatment in a general ward or the ED; intermediate (24.5%) (95% CI, 14.8-39.9%): the intensive care unit or a general ward; and high (59.5%) (95% CI, 42.2-74.8%): the intensive care unit. The area under the curve for the rule was 0.946 in the derivation set and 0.925 in the validation set.Conclusions: The PHD score is a simple and rapid rule for predicting 30-daymortality and classifying mortality risk and disposition in adult patients with hyperglycemic crises. (C) 2013 Elsevier Inc. All rights reserved.
    關聯: American Journal of Emergency Medicine, v.31 n.5, pp.830-834
    Appears in Collections:[醫務管理系(所)] 期刊論文

    Files in This Item:

    File Description SizeFormat

    All items in CNU IR are protected by copyright, with all rights reserved.

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback