|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Sequential organ failure assessment score is superior to other prognostic indices in acute pancreatitis显示文摘BACKGROUND Acute pancreatitis(AP)is a common surgical condition,with severe AP(SAP)potentially lethal.Many prognostic indices,including;acute physiology and chronic health evaluation II score(APACHE II),bedside index of severity in acute pancreatitis(BISAP),Glasgow score,harmless acute pancreatitis score(HAPS),Ranson’s score,and sequential organ failure assessment(SOFA)evaluate AP severity and predict mortality.AIM To evaluate these indices'utility in predicting severity,intensive care unit(ICU)admission,and mortality.METHODS A retrospective analysis of 653 patients with AP from July 2009 to September 2016 was performed.The demographic,clinical profile,and patient outcomes were collected.SAP was defined as per the revised Atlanta classification.Values for APACHE II score,BISAP,HAPS,and SOFA within 24 h of admission were retrospectively obtained based on laboratory results and patient evaluation recorded on a secure hospital-based online electronic platform.Data with<10%missing data was imputed via mean substitution.Other patient information such as demographics,disease etiology,and patient outcomes were also derived from electronic medical records.RESULTS The mean age was 58.7±17.5 years,with 58.7%males.Gallstones(n=404,61.9%),alcohol(n=38,5.8%),and hypertriglyceridemia(n=19,2.9%)were more common aetiologies.81(12.4%)patients developed SAP,20(3.1%)required ICU admission,and 12(1.8%)deaths were attributed to SAP.Ranson’s score and APACHE-II demonstrated the highest sensitivity in predicting SAP(92.6%,80.2%respectively),ICU admission(100%),and mortality(100%).While SOFA and BISAP demonstrated lowest sensitivity in predicting SAP(13.6%,24.7%respectively),ICU admission(40.0%,25.0%respectively)and mortality(50.0%,25.5%respectively).However,SOFA demonstrated the highest specificity in predicting SAP(99.7%),ICU admission(99.2%),and mortality(98.9%).SOFA demonstrated the highest positive predictive value,positive likelihood ratio,diagnostic odds ratio,and overall accuracy in predicting SAP,ICU admission,and mortality.SOFA and Ranson’s score demonstrated the highest area under receiver-operator curves at 48 h in predicting SAP(0.966,0.857 respectively),ICU admission(0.943,0.946 respectively),and mortality(0.968,0.917 respectively).CONCLUSION The SOFA and 48-h Ranson’s scores accurately predict severity,ICU admission,and mortality in AP,with more favorable statistics for the SOFA score. | Thomas Zheng Jie Teng Jun Kiat Thaddaeus Tan Samantha Baey Sivaraj K Gunasekaran Sameer P Junnarkar Jee Keem Low Cheong Wei Terence Huey Vishal G Shelat | 2021 | World Journal of Critical Care Medicine2021，10，6： | 9 |
| 2 | Predictors of suboptimal bowel preparation in asymptomatic patients undergoing average-risk screening colonoscopy显示文摘AIM To identify risk factors for a suboptimal preparation among a population undergoing screening or surveillance colonoscopy.METHODS Retrospective review of the University of Michigan and Veteran's Administration(VA) Hospital records from 2009 to identify patients age 50 and older who underwent screening or surveillance procedure and had resection of polyps less than 1 cm in size and no more than 2 polyps. Patients with inflammatory bowel disease or a family history of colorectal cancer were excluded. Suboptimal procedures were defined as procedure preparations categorized as fair, poor or inadequate by the endoscopist. Multivariable logistic regression was used to identify predictors of suboptimal preparation.RESULTS Of 4427 colonoscopies reviewed, 2401 met our inclusion criteria and were analyzed. Of our population, 16% had a suboptimal preparation. African Americans were 70% more likely to have a suboptimal preparation(95%CI: 1.2-2.4). Univariable analysis revealed that narcotic and tricyclic antidepressants(TCA) use, diabetes, prep type, site(VA vs non-VA), and presence of a gastroenterology(GI) fellow were associated with suboptimal prep quality. In a multivariable model controlling for gender, age, ethnicity, procedure site and presence of a GI fellow, diabetes [odds ratio(OR) = 2.3; 95%CI: 1.6-3.2], TCA use(OR = 2.5; 95%CI: 1.3-4.9), narcotic use(OR = 1.7; 95%CI: 1.2-2.5) and Miralax-Gatorade prep vs 4L polyethylene glycol 3350(OR = 0.6; 95%CI: 0.4-0.9) were associated with a suboptimal prep quality. CONCLUSION Diabetes, narcotics use and TCA use were identified as predictors of poor preparation in screening colonoscopies while Miralax-Gatorade preps were associated with better bowel preparation. | Shail M Govani Eric E Elliott Stacy B Menees Stephanie L Judd Sameer D Saini Constantinos P Anastassiades Annette L Urganus Suzanna J Boyce Philip S Schoenfeld | 2016 | World Journal of Gastrointestinal Endoscopy2016，8，17： | 7 |
| 3 | A Fast and Elitist Multi--objective Genetic Algorithm: NSGA -Ⅱ显示文摘 | Kalyanmoy D Amrit P Sameer A | 2002 | IEEE Transactions on Evolutionary Computation2002，6，2： | 1 |
| 4 | A fast and elitist multiobjective genetic algorithm:NSGA-II显示文摘 | Kalyanmoy D Amrit P Sameer A | 2002 | IEEE Transactions on Evolutionary Computation2002，6，2： | 1 |
| 5 | A fast and elitist multiobjective genetic algorithm: NSGA-II显示文摘 | Kalyanmoy D Amrit P Sameer A | 2002 | IEEE Transactions on Evolutionary Compuation2002，6，2： | 1 |
| 6 | Patterns of tourists' emotional responses,satisfaction,and intention to recommend显示文摘 | SAMEER H GIRISH P | | 0，，： | 1 |
| 7 | Electron transfer from CdSeZnS core-shell quantum dots to cobalt(III)complexes显示文摘 | Anuuskka P Sameer S | 2013 | Phys Chem Chem Phys2013，15，15： | 1 |
| 8 | A fast andelitist multiobjective genetic algorithm: NSGA - II 显示文摘 | KALYANM0YD AMRIT P SAMEER A | 2002 | IEEE Transactions on Evolutionary Computation2002，6，2： | 1 |
| 9 | Strategic alliance in a closed-loop supply chain, a case of manufacturer and eco-non- profit or- ganization显示文摘 | Sameer Kumar P Malegeant | 2005 | Technovation2005，，： | 1 |
| 10 | Synthesis of TiB2- TiC/Fe nano-eomposite coating by laser surface engineering 显示文摘 | Du B H Sameer R P Narendra B D | 2013 | Optics & Laser Technology2013，45，： | 1 |
| 11 | Strategic alliance in a closed-loop supply chain,a case of manufacturer and eco-non-profit organization显示文摘 | Sameer K Malegean P | | 0，，26： | 1 |
| 12 | A fast and elitist muhiobjective genetic algorithm : NSGA- lI显示文摘 | Kalyanmoy D Amrit P Sameer A | 2002 | IEEE Trans- actions On Evolutionary Computation2002，6，2： | 1 |
| 13 | A fast and elitist mulyi-objective genetic algorithm:NSGA-Ⅱ显示文摘 | Deb K Amrit P Sameer A | 2002 | IEEE Transactions on Evolutionary Computation2002，6，2： | 1 |
| 14 | A fast elitist multi-ob- jective genetic algorithm : NSGA-II 显示文摘 | Kalyanmoy D Amrit P Sameer A | 2002 | IEEE Transactions on Evolutionary Computation2002，6，2： | 1 |
| 15 | Closed loop pulsating heat pipes ( I ): Parametric experimental investigations 显示文摘 | Charoensawan P Sameer Khandekar Manfred Groll | 2003 | Applied Thermal Engineering2003，23，： | 1 |
| 16 | A fast and elitist muhlobjective genetic algorithm : NSGA-II 显示文摘 | Kalyanmoy D Amrit P Sameer A | 2002 | IEEE Transactions on Evolutionary Computation2002，6，2： | 1 |
| 17 | A fast and elitist multiobjective genetic algorithm:NSGA-Ⅱ显示文摘 | Kalyanmoy D Amrit P Sameer A | | 0，，02： | 1 |
| 18 | Safety, diagnostic yield,and therapeutic implications of flexibles bronchoscopy in patients with febrile neutropenia and pulmonary infiltrates显示文摘 | Tobias P Sameer R Eric SE | 2005 | Mayo Clinic Proc2005，80，11： | 1 |
| 19 | A fast and elitist multi- objective genetic algorithm: NSGA-Ⅱ显示文摘 | Deb K Amrit P Sameer A | 2002 | IEEE Transac- tions on Evolutionary Computation2002，6，2： | 1 |
| 20 | A fast and elitist multi -objective genetic algorithm: NSGA -Ⅱ 显示文摘 | KALYANMOY D AMRIT P SAMEER A | 2002 | IEEE Transactions on Evolutionary Computation2002，6，2： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员