BACKGROUND Acute kidney injury (AKI) is commonly occurred in intensive care unit (ICU) patients. The aim of the study was a comparison of RIFLE (Risk of renal injury/Injury to the kidney/Failure of kidney function/Loss of kidney function/End stage disease) classification with other scoring systems in the evaluation of AKI in ICUs. MATERIALS AND METHODS We performed a retrospective study on 40...

OBJECTIVE To investigate the hemodynamic profile associated with different target temperatures and to assess the prognostic implication of inotropic/vasopressor support and mean arterial pressure after out-of-hospital cardiac arrest. There is a lack of information how different target temperatures may affect hemodynamics. DESIGN Post hoc analysis of a prospective randomized study. SETTING T...

background exertional heat stroke (ehs) is still a main cause of death in sport. many of ehs complications could have been prevented if ehs had been recognized and treated early and properly. case presentation we report an unusual case of multiple organ failure caused by ehs due to intensive sportive activities in a hot environment with lack of primary care. a 35-year-old healthy sportive man w...

OBJECTIVE To compare the validity of the Multiple Organ Dysfunction Score (MODS), Sequential Organ Failure Assessment (SOFA), and Logistic Organ Dysfunction Score (LOD) for predicting ICU mortality of Thai critically ill patients. MATERIAL AND METHOD A retrospective study was made of prospective data collected between the 1st July 2004 and 31st March 2006 at Songklanagarind Hospital. RESULT...

background: boric acid (ba) is commonly used as pesticide, disinfectant and wood preservative. its ingestion can cause serious organ damages resulting in death. case report: a 19 year old man was found dead with two empty packs of ba tablets in vicinity of his body. on autopsy examination, brownish stains along with right angle of mouth and right nostril were found. stomach was damaged with hem...

BACKGROUND AND AIMS Circulating levels of von Willebrand factor (vWF) predict mortality in patients with cirrhosis. We hypothesized that systemic inflammation in acute-on-chronic liver failure (ACLF) will stimulate endothelium, increase vWF levels, and promote platelet microthrombi causing organ failure. METHODS In this prospective study, we correlated plasma vWF levels with organ failure, li...

Aim: Sepsis is a life-threatening organ dysfunction accompanied by dysregulated host response to infection. Patients with sepsis may present different clinical manifestations, and there no gold standard diagnostic test. Early diagnosis rapid treatment result in decrease sepsis-related deaths. Quick Sequential Organ Failure Assessment (qSOFA) scoring system used diagnosing through evaluation at ...

Methods Prospective, descriptive study in a multi-disciplinary ICU, university referral hospital from June 2013 to May 2014. Demographic data, severity of illness based on sequential organ failure assessment (SOFA), degree of independence (Barthel index) and comorbidities (Charlson Index) were documented. Age was categorized into subgroups, assigning a score of 1-6 upstream ( < 40; 40-60; 61-70...

PURPOSE To determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection. METHODS Prospective observational study in a tertiary referral hospital in Malawi. RESULTS Predictive ability of qSOFA was reasonable [AUROC 0.73 (95% CI 0.68-0.78)], increasing to 0.77 (95% CI 0.72-0.82) when classifying all patients with altered men...