The American journal of emergency medicine
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Observational Study
Lymphocyte-to-monocyte ratio predicts mortality in cirrhotic patients with septic shock.
Patients with liver cirrhosis and septic shock have a significantly higher risk of mortality and morbidity compared with non-cirrhotic patients. The peripheral blood lymphocyte-to-monocyte ratio (LMR) can determine the prognosis of cirrhotic patients. Our study aimed to investigate the usefulness of LMR as a predictive marker of mortality risk in cirrhotic patients with septic shock. ⋯ The LMR can be used to predict mortality risk in cirrhotic patients with septic shock.
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Observational Study
Shock index as a predictor of mortality among the Covid-19 patients.
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To develop a novel model for predicting Emergency Department (ED) prolonged length of stay (LOS) patients upon triage completion, and further investigate the benefit of a targeted intervention for patients with prolonged ED LOS. ⋯ Early prediction of prolonged ED LOS patients and subsequent (simulated) early CDU transfer could lead to more efficiently utilization of ED resources and improved efficacy of ED operations. This study provides evidence to support the implementation of this novel intervention into real healthcare practice.
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Identifying acute kidney injury (AKI) early can inform medical decisions key to mitigation of injury. An AKI risk stratification tool, the renal angina index (RAI), has proven better than creatinine changes alone at predicting AKI in critically ill children. ⋯ This pilot study finds the aRAI to be a sensitive ED-based tool for ruling out the development of in-hospital AKI.