样式: 排序: IF: - GO 导出 标记为已读
-
Evaluation of CD4+ T Lymphocyte Counts to Predict Survival of ICU Patients with Sepsis Using Sepsis-3 Criteria: A Prospective Cohort Study. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-08-26 Guoge Huang,Xusheng Li,Chunmei Zhang,Haizhong Li,Mengling Jian,Chunyang Huang,Yingqin Zhang,Luhua Xian,Hongke Zeng,Yuanyuan Xia,Wenqiang Jiang
Background Sepsis remains a major health condition with a high mortality rate that may be related to immunosuppression. T lymphocyte subsets may reflect the immune function of sepsis patients. The purpose of this study was to investigate the predictive value of CD4+ T lymphocyte counts of ICU patients for their short-term prognosis. Methods We conducted a prospective, observational cohort study in
-
Hemostatic Interventions and All-Cause Mortality in Hemodynamically Unstable Pelvic Fractures: A Systematic Review and Meta-Analysis. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-08-26 XuWen Zheng,MaoBing Chen,Yi Zhuang,Jin Xu,Liang Zhao,YongJun Qian,WenMing Shen,Ying Chu
Objective To conduct a systematic review and meta-analysis of the all-cause mortality associated with the most commonly used hemostatic treatments in patients with hemodynamically unstable pelvic fractures. Methods Up to April 30, 2023, we searched PubMed, Embase, Web of Science, and Cochrane, including the references to qualified papers. A meta-analysis was performed on studies that reported odds
-
Comparison of Injury Severity Score (ISS) and New Injury Severity Score (NISS) in the Evaluation of Thoracic Trauma Patients: A Retrospective Cohort Study. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-08-23 He Jin,Yuanyuan Zhang,Qi Zhang,Lijuan Ouyang,Xueyao Li,Yiyan Zhang,Baosheng Yang,Junfeng Sun,Chaohui Wei,Guimei Yang,Li Guan,Shilan Luo,Junyu Zhu,Huaping Liang
Objective To explore the value of the injury severity score (ISS) and the new injury severity score (NISS) for evaluating injuries and predicting complications (pneumonia and respiratory failure) and poor prognoses (in-hospital tracheal intubation, extended length of hospital stay, ICU admission, prolonged ICU stay, and death) in patients with thoracic trauma. Methods The data of consecutive patients
-
Impact of Hepatic Portal Venous Gas on the Prognosis of Traumatic Out-of-Hospital Cardiac Arrest: A Reason to Consider Terminating Cardiopulmonary Resuscitation. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-08-12 Seok Ran Yeom,Mun Ki Min,Dae Sup Lee,Min Jee Lee,Mo Se Chun,Sung Wook Park,Wook Tae Yang
Background We evaluated the prognosis of traumatic out-of-hospital cardiac arrest (OHCA) by assessing the presence of hepatic portal vein gas (HPVG) observed in ultrasound (US) or point-of-care ultrasonography (POCUS) performed during CPR. Furthermore, we aimed to understand the role of HPVG in decision-making regarding CPR discontinuation or withholding in traumatic OHCA. Methods The retrospective
-
How Does Rescuer's Position Setting Impact Quality of Chest Compression: A Randomized Crossover Simulation Study on Unexperienced Clinicians. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-08-07 Nan Zhang,Jiangshan Wang,Yan Li,Jihai Liu,Huadong Zhu
Background High-quality chest compression (CC) is the crux of survival for cardiac arrest patients. While, rescuers' position setting relative to patients during CC was unrecommended in the present guidelines. We aimed to assess the impact of position settings on CC quality during cardiopulmonary resuscitation (CPR) and to test the heterogeneity related to rescuers' characteristics. Methods We conducted
-
Notch Signaling Is Associated with Pulmonary Fibrosis in Patients with Pigeon Breeder's Lung by Regulating Oxidative Stress. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-08-06 Zhichuang Lian,Remila Kuerban,Zongxin Niu,Paruzha Aisaiti,Chao Wu,Xiaohong Yang
This study explored the molecular mechanism underlying the association of Notch signaling and oxidative stress with the occurrence of pulmonary fibrosis in patients with pigeon breeder's lung (PBL). Rat models of fibrotic PBL were constructed with freeze-dried protein powder, and the animals were divided into the control (intratracheal instillation of normal saline; n = 9), M (PBL model; intratracheal
-
Early Enteral Nutrition Could Be Associated with Improved Survival Outcome in Cardiac Arrest. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-06-08 Jingwei Duan,Jianjie Ren,Xiaodan Li,Lanfang Du,Baomin Duan,Qingbian Ma
Background Although the latest European and US guidelines recommend that early enteral nutrition (EN) be attempted in critically ill patients, there is still a lack of research on feeding strategies for patients after cardiac arrest (CA). Due to the unique pathophysiology following CA, it remains unknown whether evidence from other diseases can be applied in this condition. Objective We aimed to explore
-
Review of the Predictive Value of Biomarkers in Sepsis Mortality. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-06-05 Nai Zhang,Yujuan Liu,Chuang Yang,Xinai Li
Sepsis is a leading cause of mortality among severely ill individuals, primarily due to its potential to induce fatal organ dysfunction. For clinicians, it is vital to have appropriate indicators, including the physiological status and personal experiences of patients with sepsis, to monitor the condition and assess prognosis. This approach aids in preventing the worsening of the illness and reduces
-
Exploration of the Challenges of COVID-19 from the Perspective of Emergency Medicine Specialists Emerg. Med. Int. (IF 1.2) Pub Date : 2024-5-25 Tayebeh Rakhshani, Farzaneh Ghalehgolab, Mohammad Amin Bahrami, Shahnaz Karimi, Hadid Hamrah, Fatemeh Jafari, Ali Khani Jeihooni
Background. Emergency physicians are at the forefront of the medical system in the face of the COVID-19 crisis. Identifying the challenges, along with the strategies and effective measures implemented by them in the face of the COVID-19 crisis, can be a roadmap for future crisis management planning. This study aims to explain the challenges faced by emergency physicians regarding COVID-19. Methods
-
ICD-10 Classification in the Practice of Emergency Medical Teams: New Insights Emerg. Med. Int. (IF 1.2) Pub Date : 2024-5-16 Krzysztof M. Mitura, Jadwiga Snarska, Daniel Celiński, Dominik Maślach, Piotr K. Leszczyński, Aneta Binkowska, Leszek Szpakowski, Sławomir D. Szajda
The role of the emergency medical system is to provide assistance to every person in a state in the event of a sudden threat to health and life. Emergency medical teams (EMTs) are an important element of this system, making diagnoses based on the International Classification of Diseases (ICD-10). The study was aimed at analysing the causes of EMT intervention based on groups of diagnoses codified according
-
Does Point-of-Care Ultrasound Affect Fluid Resuscitation Volume in Patients with Septic Shock: A Retrospective Review Emerg. Med. Int. (IF 1.2) Pub Date : 2024-5-6 Enyo A. Ablordeppey, Amy Zhao, Jeffery Ruggeri, Ahmad Hassan, Laura Wallace, Mansi Agarwal, Sean P. Stickles, Christopher Holthaus, Daniel Theodoro
Background. Fixed, large volume resuscitation with intravenous fluids (IVFs) in septic shock can cause inadvertent hypervolemia, increased medical interventions, and death when unguided by point-of-care ultrasound (POCUS). The primary study objective was to evaluate whether total IVF volume differs for emergency department (ED) septic shock patients receiving POCUS versus no POCUS. Methods. We conducted
-
Validation of Difficult Airway Physiological Score (DAPS) in Critically Ill Adults Undergoing Endotracheal Intubation in the Emergency Department Emerg. Med. Int. (IF 1.2) Pub Date : 2024-4-23 Shahan Waheed, Junaid Abdul Razzak, Nadeem Ullah Khan, Ahmed Raheem, Asad Iqbal Mian
Background. Critically ill patients have increased risk of cardiovascular collapse following endotracheal intubation due to physiological instability. This study aims to validate the Difficult Airway Physiological Score (DAPS) in adults to predict the risk of serious outcomes in the emergency department of a tertiary care private hospital. Methods. This is a cohort study conducted in the emergency
-
Are We Overusing Coagulation Studies in the Emergency Department? Emerg. Med. Int. (IF 1.2) Pub Date : 2024-4-23 Bader Alyahya, Abdulaziz Alalshaikh, Ali Alkhulaif, Tareq Al-Salamah, Badr Aldawood, Alwaleed Alsubaie, Meshal Alohali, Saud Alshenaifi, Abdulaziz Alohali, Majed B. Alzin, Abdullah Almana, Mohammed Habib, Rana Hasanato
Background and Objectives. Blood tests are often indiscriminately requested in the Emergency department (ED) and many EDs have preset orders that are usually performed at triage before clinical assessment to improve the flow of patients through the department. We conducted this study to evaluate the frequency of requests for coagulation profile, the incidence of abnormal coagulation profiles and the
-
Subarachnoid Haemorrhage Incidence Pattern Analysis with Circular Statistics Emerg. Med. Int. (IF 1.2) Pub Date : 2024-4-16 Ashish Dravid, Wen-Shan Sung, Jeeuk Song, Arvind Dubey, Behzad Eftekhar
Knowledge about biological rhythms of diseases may not only help in understanding the pathophysiology of diseases but can also help health service policy makers and emergency department directors to allocate resources efficiently. Aneurysmal subarachnoid haemorrhage (SAH) has high rates of morbidity and mortality. The incidence of SAH has been attributed to patient-related factors such as characteristics
-
Healthcare Decision-Making in a Crisis: A Qualitative Systemic Review Protocol Emerg. Med. Int. (IF 1.2) Pub Date : 2024-4-12 Ehmaidy Al Qaf’an, Stewart Alford, Kimberley Porteous, David Lim
Background. Throughout history, communities have faced outbreaks of infectious diseases and other natural and man-made disasters that pose significant threats to lives, public health, and business continuity. Many of these disasters are crises that require critical decisions to be made in a short, crucial time with limited information and unforeseen circumstances amidst panic, fear, and shock. The
-
Health Status of Nonemergency Patients in the Emergency Department Using the EQ-5D Emerg. Med. Int. (IF 1.2) Pub Date : 2024-3-31 Min Dai, Jingyuan Jiang, Lingjun Jiang, Jin Zhou, Lei Ye
Background. Emergency department (ED) overcrowding is influenced by several factors including the hospital’s capacity, staff, patient discharges, and community resources. The number of annual ED visits has increased, with patients’ medical needs exceeding emergency capacity, resulting in a widespread concern about emergency room overcrowding. Nonemergency patients tend to use large amounts of emergency
-
A Single High-Sensitivity Cardiac Troponin T Strategy for Ruling Out Myocardial Infarction Emerg. Med. Int. (IF 1.2) Pub Date : 2024-3-25 Patrik Gilje, Moman A. Mohammad, Andreas Roos, Ulf Ekelund, Jonas Björk, Bertil Lindahl, Martin Holzmann, Arash Mokhtari
Background. Ruling out acute myocardial infarction (AMI) in the emergency department (ED) is challenging. Studies have shown that a high-sensitivity cardiac troponin T (hs-cTnT) <5 ng/L or <6 ng/L at presentation (0 h) can be used to rule out AMI. The objective of this study was to identify whether an even higher hs-cTnT threshold can be used for a safe rule out of AMI in the ED. Methods. The derivation
-
The Diagnostic Evaluation of the SINEH Cardiopulmonary Triage Scale and the Emergency Severity Index in the Emergency Department: A Comparative Study Emerg. Med. Int. (IF 1.2) Pub Date : 2024-3-22 Mahbobeh VatanKhah, Javad Malekzadeh, Mohammad-Davood Sharifi, Amir Mirhaghi
Introduction. The diagnostic evaluation of the emergency severity index (ESI) in the triage of patients with cardiopulmonary complaints has a high sensitivity but a low specificity in the emergency department (ED). Therefore, triage scales with more accurate diagnostic evaluation are required. As a result, accuracy of the SINEH triage scale (SinTS) and the ESI was compared to compare mistriage of critically
-
Surge Capacity of Taipei’s Regional Emergency Medical System during COVID-19: A System Dynamics Approach Emerg. Med. Int. (IF 1.2) Pub Date : 2024-3-14 Chih Chang Chen, Su Ying Hung
Background. The community transmission of COVID-19 has caused the breakdown of the regional emergency medical system (REMS), impacting the rights and care of regional patients with acute and severe conditions. This study proposes a model for the surge capacity of REMS to plan for readiness and preparedness during challenging events that overload capacity. Methods. The surge capacity of REMS during
-
The Predictive Role of Lactate in the Emergency Department in Patients with Severe Dyspnea Emerg. Med. Int. (IF 1.2) Pub Date : 2024-2-29 Maciej Niczewski, Szymon Gawęda, Paulina Kluszczyk, Mikołaj Rycerski, Daria Syguła, Anna Danel, Szymon Szmigiel, Konrad Mendrala, Aleksandra Oraczewska, Czarosław Kijonka, Monika Nowicka, Michał Wita, Tomasz Cyzowski, Grzegorz Brożek, Maciej Dyrbuś, Szymon Skoczyński
Objective. An accurate identification of patients at the need for prioritized diagnostics and care are crucial in the emergency department (ED). Blood gas (BG) analysis is a widely available laboratory test, which allows to measure vital parameters, including markers of ventilation and perfusion. The aim of our analysis was to assess whether blood gas parameters in patients with dyspnea at an increased
-
Comparison of Clinical Characteristics, Therapy, and Short-Term Prognosis between Blunt and Penetrating Abdominal Trauma: A Multicentric Retrospective Cohort Study Emerg. Med. Int. (IF 1.2) Pub Date : 2024-2-13 Yi Liu, Yunhe Gao, Zhida Chen, Jianxin Cui, Wenquan Liang, Ze Wang, Linde Sun, Chuan Pang, Yuan Lv, Guoxiao Liu, Tingting Lu, Gan Zhang, Xiaoyu Dong, Hong Xu, Sheng Yao, Feng Liang, Gang Liu, Gang Chen, Jianmiao He, Wentong Xu, Bo Wei, Hongqing Xi, Lin Chen
Objective. Large-scale studies on the characteristics and management of abdominal trauma in megacities in China are lacking. The aim of this study was to analyze and present the clinical patterns and treatment status of abdominal trauma in regional medical centers. Methods. Cases of abdominal trauma treated at seven medical centers in Beijing from 2010 to 2021 were collected. Clinical information about
-
Strategies for Oxygen Ecosystems in Middle-Income Countries: A Review and Case Study from Lebanon Emerg. Med. Int. (IF 1.2) Pub Date : 2024-2-2 Tim Baker, Claudio Gatti, Guido Rossini, Habtamu Tolla, Anne Detjen, Mulugeta Mideksa, Nadeen Hilal, Rima Shaya
The COVID-19 pandemic led to a surge of critically ill patients and a sudden increase in the need for oxygen treatment worldwide. Pre-existing gaps in oxygen systems became apparent, and governments, multilateral agencies, and other partners scrambled to increase the production, supply, and use of oxygen to meet this need. The importance of an oxygen ecosystem that is appropriate for the local context
-
Our Surgical Results in Popliteal and Infrapopliteal Artery Injuries: 21 Cases without Amputation Emerg. Med. Int. (IF 1.2) Pub Date : 2024-1-24 Burak Tamteki̇n, Güler Gülsen Ersoy
Objectives. Popliteal and infrapopliteal artery injuries have significant morbidity and mortality rates, especially in terms of amputation. In our study, we aimed to evaluate patients who operated due to popliteal and infrapopliteal vascular injuries in our clinic. Patients and Methods. Between 2016 and 2023; 21 patients who were operated in our clinic due to popliteal and infrapopliteal artery injuries
-
Retracted: Study of the Significance of Thromboelastography Changes in Patients with Dyslipidemia. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-01-24 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/1927881.].
-
Retracted: Infection Control-Based Construction of a Fever Outpatient Routine Management Model. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-01-24 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/2902800.].
-
Retracted: Analysis of the Clinical Value of MAGE-A9 Expressions in Cervical Cancer Tissues and PBMC. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-01-24 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/1417752.].
-
Retracted: Effectiveness and Safety Analysis of Plasma Beam in the Treatment of Facial Depressed Scars. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-01-24 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/1194355.].
-
Retracted: Clinical Effect of Hufu Copper Scraping on Shoulder-Hand Syndrome after Stroke. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-01-24 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/9165141.].
-
Retracted: Serum Levels of CXCL-13, RBP-4, and IL-6, and Correlation Analysis of Patients with Graves' Disease. Emerg. Med. Int. (IF 1.2) Pub Date : 2024-01-24 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/5131846.].
-
Point-of-Care Cardiac Ultrasound Training Programme: Experience from the University Hospital Hradec Králové Emerg. Med. Int. (IF 1.2) Pub Date : 2024-1-6 Petr Grenar, Jiří Nový, Karel Mědílek, Martin Jakl
Point-of-care ultrasound examinations performed by physicians of different specialties are a rapidly growing phenomenon, which has led to a worldwide effort to create a standardised approach to ultrasound examination training. The implementation of emergency echocardiography by noncardiologists is mainly aimed at the standardisation of the procedure, a structured training system, and an agreement on
-
Clinical Features and Biomarkers for Early Prediction of Refractory Mycoplasma Pneumoniae Pneumonia in Children Emerg. Med. Int. (IF 1.2) Pub Date : 2024-1-5 Qin Chen, Tingting Hu, Ling Wu, Lumin Chen
Summary of Background Data.With the increasing incidence and mortality of refractory mycoplasma pneumonia (RMPP), the early diagnosis and treatment of RMPP have attracted more and more attention and have become a major concern in pediatrics. Objective. The study aimed to analyze the clinical characteristics of children with RMPP and to explore the biomarkers for the early prediction of RMPP, thus providing
-
Prevalence, Risk Factors, and Mortality of Patients Presenting with Moderate and Severe Hyponatremia in Emergency Departments Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-31 Randa Farah, Nisreen Asha, Farah Mezher, Saja Maaitah, Fedaa Abu Al-Samen, Farah Abu Abboud, Salma Ajarmeh
Background. Hyponatremia is among the most common electrolyte disturbances encountered in clinical practice and is associated with a high rate of morbidity and mortality. However, there are very limited data on adult cases presenting to emergency departments with hyponatremia. Objectives. This study aimed to evaluate the frequency, clinical characteristics, and outcomes in hyponatremic patients presenting
-
Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-26 Yi-Ling Zhang, Zhou Yang, Jie Cao, Yu-Long Bai, Chun-Yun Fang, Wei Wang
Background. Lung ultrasound score (LUS) is a clinical index used to measure lung injury, but its clinical value in patients after cardiopulmonary resuscitation (CPR) remains relatively unknown. The purpose of this study was to investigate the clinical value of LUS in patients after CPR. Methods. This retrospective study included a total of 34 patients older than 18 years with a nontraumatic cause of
-
Retracted: An Image Fusion Algorithm Based on Improved RGF and Visual Saliency Map. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-20 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/1693531.].
-
Retracted: Clinical Effect and Aesthetic Evaluation of Minimally Invasive Implant Therapy. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-20 Emergency Medicine International
[This retracts the article DOI: 10.1155/2023/9917311.].
-
Fears and Concerns of Bystanders to Help People Injured in Traffic Accidents: A Qualitative Descriptive Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-7 Mohammad Jafar Sepahvand, Kian Nourozi, Hamidreza Khankeh, Farahnaz Mohammadi-Shahboulaghi, Masoud Fallahi-Khoshknab
In most traffic accidents, bystanders arrive at the scene before the rescuers. If they provide the right help, they can play an important and effective role in reducing the number of deaths and complications caused by these accidents. However, in many cases, fears and concerns prevent bystanders from providing assistance. This study aims to investigate and understand the fears and concerns of bystanders
-
Gender Disparities in Patients’ Decisions about the Management of Myocardial Infarction in East Chinese Province Emerg. Med. Int. (IF 1.2) Pub Date : 2023-12-6 Chaobin Lou, Tao Xu, Fangying Dong, Yangmiao Xu, Muhua Zhang, Shudong Xia, Yinchuan Xu, Chao Feng
Background. Previous studies showed that there are gender disparities in various respects of acute myocardial infarction (AMI), including risk factors, symptoms, and outcomes. However, few of them noticed the gender disparities in patients’ decision about the management of AMI, which might also be associated with the outcome. Aims. To identify gender disparities in patients’ decisions about the management
-
Impact of Personal Protective Equipment on Cardiopulmonary Resuscitation and Rescuer Safety Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-30 Cheng-Hsin Cheng, Ya-Yun Cheng, Mei-Kang Yuan, Yow-Jer Juang, Xuan-Yu Zeng, Chung-Yu Chen, Ning-Ping Foo
Background. High-quality cardiopulmonary resuscitation (CPR) is a key element in the rescue of cardiac arrest patients but is difficult to achieve in circumstances involving aerosol transmission, such as the COVID-19 pandemic. Methods. This prospective randomized crossover trial included 30 experienced health care providers to evaluate the impact of personal protective equipment (PPE) on CPR quality
-
Retracted: Key Technology of the Medical Image Wise Mining Method Based on the Meanshift Algorithm. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-29 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/6711043.].
-
Retracted: Clinical Features and Surgical Strategies of Distal Radius Posttraumatic Deformity. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-29 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/5268822.].
-
Retracted: A Multimodel Fusion Method for Cardiovascular Disease Detection Using ECG. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-29 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/3561147.].
-
Enhancing Emergency Nurses’ Disaster Nursing Ability and Psychological Resilience: A Randomized Controlled Trial Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-27 Lin Lan, Meichi Zhou, Ling Wang, Xiaoli Chen, Min Dai, Jianna Zhang
Objective. This study aimed to investigate emergency nurses’ disaster nursing ability and psychological resilience, validate the effectiveness of a training system for disaster nursing ability based on psychological resilience, and verify the relationship between psychological resilience and disaster nursing ability among emergency nurses. Methods. A training system was developed to enhance psychological
-
Arrhythmias Occurring in Children during HEMS Intervention: A Retrospective Cohort Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-23 Piotr Konrad Leszczyński, Arkadiusz Wejnarski, Patryk Rzońca, Angelika Gajowniczek, Robert Gałązkowski, Kryspin Mitura, Daryna Sholokhova
Background. Arrhythmias in patients during medical transport remain a challenge for medical personnel. Helicopter emergency medical service (HEMS) crews, as the only medical rescue teams in Poland to conduct rescue flights, keep detailed documentation of monitoring vital functions over short time intervals during the flight. Aims. The aim of this study was to determine the characteristics of cardiac
-
Prediction Models for Return of Spontaneous Circulation in Patients with Cardiac Arrest: A Systematic Review and Critical Appraisal Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-21 Pengfei Cheng, Pengyu Yang, Hua Zhang, Haizhen Wang
Objectives. Prediction models for the return of spontaneous circulation (ROSC) in patients with cardiac arrest play an important role in helping physicians evaluate the survival probability and providing medical decision-making reference. Although relevant models have been developed, their methodological rigor and model applicability are still unclear. Therefore, this study aims to summarize the evidence
-
Research Progress on the Mechanism and Management of Septic Cardiomyopathy: A Comprehensive Review Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-20 Xue-Bin Pei, Bo Liu
Sepsis is defined as a kind of life-threatening organ dysfunction due to a dysregulated host immune response to infection and is a leading cause of mortality in the intensive care unit. Sepsis-induced myocardial dysfunction, also called septic cardiomyopathy, is a common and serious complication in patients with sepsis, which may indicate a bad prognosis. Although efforts have been made to uncover
-
Risk Factors for Predicting Mortality and Amputation of Patients with Necrotizing Soft-Tissue Infections: Retrospective Analysis of 111 Cases from a Single Medical Center Emerg. Med. Int. (IF 1.2) Pub Date : 2023-11-11 Hanghui Cen, Ronghua Jin, Jun Yin, Xingang Wang
Objective. Necrotizing soft-tissue infections (NSTIs) are rare clinical infections with surgical emergencies having a high mortality rate. This study aimed to investigate risk factors for mortality and amputation of patients with NSTI. Methods. We retrospectively analyzed critical factors for outcomes of 111 patients with NSTI hospitalized in our department from 1 January 1999 to 31 December 2018.
-
Association between Red Blood Cell Distribution Width and Short-Term Mortality in Patients with Paralytic Intestinal Obstruction: Retrospective Data Analysis Based on the MIMIC-III Database Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-23 Xuelian Zhao, Xinhuan Wan, Chao Gu, Shanyu Gao, Jiahui Yin, Lizhu Wang, Longfang Quan
Objective. Elevated red cell distribution (RDW) has been reported to be associated with mortality in patients with acute pancreatitis and cholecystitis admitted to the intensive care unit (ICU). However, evidence for the relationship between RDW and paralytic intestinal obstruction is lacking. Therefore, the article aims to investigate the relationship between RDW and 28-day mortality of the patients
-
Evaluation of the Retrospective LACE Index in Predicting the Risk of Readmission in Patients with Hereditary Angioedema in an Emergency Department Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-20 Meltem Songur Kodik, Ozlem Inci, Zeynep Dila Çetin, Emine Nihal Mete Gokmen, Funda Karbek Akarca
This study aimed to calculate the LACE index in patients who admitted to the emergency department (ED) with hereditary angioedema (HA) diagnosed and to predict recurrent admissions of patients. In this single-center study, patients aged 18 or higher who were admitted to the ED diagnosed with HA were included over a 12-year period. 35 patients diagnosed with code E88.0 were evaluated according to electronic
-
Usefulness of the BIG Score in Predicting Massive Transfusion and In-Hospital Death in Adult Trauma Patients Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-17 Sejun Park, Il Jae Wang, Seok-Ran Yeom, Sung-Wook Park, Suck Ju Cho, Wook Tae Yang, Wonwoong Tae, Up Huh, Chanhee Song, Yeaeun Kim, Jong-Hwan Park, Youngmo Cho
The base deficit (B), international normalized ratio (I), and Glasgow coma scale (GCS) (BIG) score is useful in predicting mortality in pediatric trauma patients; however, studies on the use of BIG score in adult patients with trauma are sparse. In addition, studies on the correlation between the BIG score and massive transfusion (MT) have not yet been conducted. This study aimed to evaluate the predictive
-
Relationship between Nonhepatic Serum Ammonia Levels and Sepsis-Associated Encephalopathy: A Retrospective Cohort Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-10-12 Pei Wang, Jia Yan, Qiqing Shi, Fei Yang, Xuguang Li, Yuehao Shen, Haiying Liu, Keliang Xie, Lina Zhao
Objectives. Nonhepatic hyperammonemia often occurs in patients with sepsis. Ammonia plays an essential role in the occurrence of hepatic encephalopathy. However, the relationship between nonhepatic serum ammonia levels and sepsis-associated encephalopathy (SAE) remains unclear. Thus, we aimed to evaluate the association between serum ammonia levels and patients with SAE. Methods. Data of critically
-
The Prevalence of Simultaneously Ordering Amylase and Lipase for Diagnosing Pancreatitis Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-27 Bader Alyahya, Abdulaziz Alalshaikh, Abdulaziz Altaweel, Gadah Alsaleh, Abdullah Alsaeed, Haneen Somily, Taif Alotaibi, Mohammed Alaqeel, Abdulaziz Al Mehlisi, Fahad Abuguyan, Fawaz Altuwaijri, Zuhair Alasiri
Background. The simultaneous measurement of serum amylase and lipase levels in the diagnosis of pancreatitis was deemed unnecessary in several studies. We aim at evaluating the prevalence of the simultaneous co-ordering of serum amylase and lipase. Methods. This retrospective chart review was conducted at King Saud University Medical City in Riyadh, Saudi Arabia, between January 2021 and January 2022
-
Predictive Performance Neutrophil-to-Lymphocyte Ratio of Acute Tonsillitis with Deep Neck Space Infection in Adult Patients Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-25 Sun Hwa Lee, Jong Seok Oh, Yun Hyung Choi, Ji Yeon Lim
The aim of this study was to examine the neutrophil-to-lymphocyte ratio (NLR) in patients diagnosed with a deep neck infection (DNI) to identify helpful indicators for the initial differential diagnosis. This study was conducted as a single-center, retrospective cohort study that utilized data from the electronic medical records of patients who visited the emergency department in a tertiary university
-
Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-19 Weixue Huo, Mengwei He, Xianhao Bao, Ye Lu, Wen Tian, Jiaxuan Feng, Zhaoxiang Zeng, Rui Feng
Objective. The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascending aortic endovascular repair included in the literature published between January 2007 and July 2023
-
Prognostic Value of the Average Lung CT Number in Patients with Acute Paraquat Poisoning Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-12 Xinrui Jiang, Hengjun Liu, Geng Lu, Jiawei Zhou, Jun Wang, Binxia Shao, Peng Xu
Objective. The chest computed tomography (CT) examination is an important clinical examination in the diagnosis and monitoring of paraquat- (PQ-) induced lung injury. The aim of this study was to explore the prognostic value of the average lung CT number acquired by quantitative CT techniques in patients with acute paraquat poisoning in the early stages of the disease. Methods. 46 patients who suffered
-
Patient and Provider Demographics and the Management of Genitourinary Tract Infections in the Emergency Department Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-11 Johnathan M. Sheele, Lanyu Mi, Jessica Monas, Michael Mohseni
Introduction. Urinary tract infections (UTIs) and sexually transmitted infections (STIs) can have overlapping signs, symptoms, and findings on urinalysis. Our objective was to determine if patient or provider demographics are associated with differences in the diagnosis and management of UTIs and STIs in the emergency department (ED). Methods. We analyzed 38,062 ED patient encounters from a single
-
Evaluation of Platelet Distribution Width as an Early Predictor of Acute Kidney Injury in Extensive Burn Patients Emerg. Med. Int. (IF 1.2) Pub Date : 2023-9-7 Ming Jiang, Qingrong Zhang, Chuwei Zhang, Zihan Li, Qiqi Li, Xun Qu, Yi Zhang, Kesu Hu
Background. The extensive burns devastate trauma. The research was designed to analyse the predictive value of early platelet (PLT) indices on the development of acute kidney injury (AKI) after severe burns. Methods and Results. 186 patients with extensive burns (burn area ≥30%) were eventually involved. Multivariate analyses pointed out that platelet distribution width (PDW) in the first 24 h after
-
Oblique Axis Rib Stretch and Curved Planar Reformats in Patients for Rib Fracture Detection and Characterization: Feasibility and Clinical Application Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-29 Jingzhi Ye, Hongyi Li, Meng Zhang, Fenghuan Lin, Jingfeng Liu, Jun Chen, Ye Peng, Mengqiang Xiao
Objective. To assess the use of CT with oblique axis rib stretch (OARS) and curved planar reformats (CPRs) for rib fracture detection and characterization. Methods. A total of 108 forensically diagnosed patients with rib fractures were evaluated retrospectively. OARS and CPRs were independently used during the diagnosis in two groups. In each group, the final diagnosis was made after a junior radiologist’s
-
Retracted: Cohort Study on the Effect of Psychological Education for Nurses in Psychiatric Department. Emerg. Med. Int. (IF 1.2) Pub Date : 2023-08-23 Emergency Medicine International
[This retracts the article DOI: 10.1155/2022/7394710.].
-
Prehospital Predictors for Urgent Neurosurgical Intervention in the Head Trauma Patient: A 2-Year Multicenter Retrospective Study Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-18 Jakub Nożewski, Maja Kwiatkowska, Aleksandra Łosińska, Ewa Nowak, Anna Lackowska, Anna Rydzewska, Agnieszka Durma, Paweł Sokal
Background. Traumatic brain injury (TBI) is the main cause of disability in the world. Prehospital diagnosis of patients requiring rapid neurosurgical intervention and the earliest possible introduction of procedures preventing secondary brain injuries (SBI) are crucial. Methodology and Study Population. The authors of this paper assumed that certain age groups with specific injuries are more likely
-
Effect of the Profit and Teaching Status of Hospitals on the Patterns and Outcomes of Abdominal Aorta and Inferior Vena Cava Injuries after Severe Abdominal Trauma Emerg. Med. Int. (IF 1.2) Pub Date : 2023-8-11 Nasser A. N. Alzerwi
Background. The inferior vena cava (IVC) and the abdominal aorta (AA) are two important blood vessels located in the abdomen. The outcomes of such injuries rely heavily on the experience, expertise, and resources available at the hospital where the patient is treated. However, our current understanding of the potential impact of the hospital profit and teaching status on surgical outcomes in the context