Mild acute pancreatitis has a low mortality rate, but patients with severe acute pancreatitis are more likely to develop complications and have a much higher death rate. Although serum amylase and lipase levels remain the most widely used diagnostic assays for acute pancreatitis, other biomarkers and inflammatory mediators such as trypsinogens are being investigated for clinical use. Ranson's c...

BACKGROUND Scoring systems to predict mortality in intensive care units have been developed in western populations. There is a need to identify and validate prognostic variables in the Indian context. We compared two scoring systems to predict the discharge outcome in patients admitted to a medical intensive care unit. METHODS Five hundred patients admitted to a medical intensive care unit we...

Background Heatstrokes are a serious threat to human health, particularly the cardiovascular system. Understanding clinical features and risk factors related death in patients with myocardial injury (MI) complicated by heat stroke is crucial.Method This study included baseline data of all severe heatstroke between October 2008 May 2019.Results Of 162 enrolled, 75 (46.3%) were MI group 87 (53.7%...

INTRODUCTION The purpose of the study was to validate the newly derived postoperative orthotopic liver transplantation (OLTX)-specific diagnostic weight for the Acute Physiology and Chronic Health Evaluation (APACHE) II mortality prediction system in independent databases. METHODS Medical records of 174 liver transplantation patients admitted postoperatively to the adult intensive care units ...

STUDY OBJECTIVE To address the relevance of the IgM component in polyvalent immunoglobulins in sepsis treatment by comparison of the clinical course under polyvalent IgG vs IgGMA therapy in postcardiac surgical patients at high risk for sepsis and to reassess the prognostic validity of sequential changes in acute physiology and chronic health evaluation (APACHE II) scores during treatment. DE...

OBJECTIVE To evaluate the ability of a variety of scoring systems to predict mortality of patients admitted to an intensive care unit (ICU) with acute respiratory failure (ARF) secondary to AIDS-related Pneumocystis carinii pneumonia (PCP). METHODS All patients with AIDS-related PCP admitted to ICU at St. Paul's Hospital between January 1, 1985 and April 1, 1991 were reviewed. For each case, ...

The purpose of this study was to compare the effectiveness of damage-control orthopedics (DCO) vs early total care (ETC) in the treatment of borderline high-energy pelvic fractures. Seventy-two patients with borderline high-energy pelvic fractures were retrospectively reviewed; 39 received DCO and 33 received ETC. Demographic data and initial injury severities were comparable between groups, ex...

Background: Hyperglycemia has long been recognized as a common occurrence in critically ill patient, even without history of diabetes mellitus (D.M). Objective: To investigate the role insulin resistance patients with sepsis admitted to medical intensive care unit (ICU) acute hyperglycemia and its relation 30 days outcome. Patients Methods: This study was conducted on 100 adult septic who were ...

BACKGROUND Our study sought to assess the effectiveness of a constant micropump infusion of atropine and pralidoxime chloride compared with repeated-bolus doses in patients with severe acute organophosphorus insecticide poisoning (AOPP). METHODS A total of 60 patients with severe AOPP, defined as cholinergic crisis with respiratory failure or cerebral edema, were randomly divided into two gro...

Background: There was a need for a simple method of predicting the severity of gallstone pancreatitis soon after admission, to guide the clinician for intensive monitoring, or for transfer to a specialist center. Aim: To validate the role of simplified criteria [white blood cell count (WBC) > 14.5 x 10/dl; blood urea nitrogen (BUN) > 12 mg/dl; random blood sugar (RBS) > 150 mg/dl; pulse > 100/m...