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Elderly patients in the USA account for 26-50% of all intensive care unit (ICU) admissions. The applicability of validated ICU scoring systems to predict outcomes in the "Oldest Old" is poorly documented. We evaluated the utility of three commonly used ICU scoring systems (SAPS II, SAPS III, and APACHE II) to predict clinical outcomes in patients > 90 years. 1,189 surgical procedures performed ...
INTRODUCTION Recently, the Sepsis Severity Score (SSS) was constructed to predict mortality in sepsis patients. The aim of this study was to compare performance of the SSS with the Acute Physiology and Chronic Health Evaluation (APACHE) II-IV, Simplified Acute Physiology Score (SAPS) II, and SAPS 3 scores in predicting hospital outcome in sepsis patients. METHODS A retroprospective analysis w...
The Acute Physiology and Chronic Health Evaluation (APACHE) is the most frequently used general severity-of-illness score in adult intensive care units (ICUs). APACHE scores use clinical, physiological and laboratory data observed at admission and during the first 24 hours after ICU admission. This is in order to estimate a given patient’s severity of illness by providing a severity score and a...
INTRODUCTION Diastolic dysfunction as demonstrated by tissue Doppler imaging (TDI), particularly E/e' (peak early diastolic transmitral/peak early diastolic mitral annular velocity) is common in critical illness. In septic shock, the prognostic value of TDI is undefined. This study sought to evaluate and compare the prognostic significance of TDI and cardiac biomarkers (B-type natriuretic pepti...
INTRODUCTION Early risk assessment is the mainstay of management of patients with sepsis. APACHE II is the gold standard prognostic stratification system. A prediction rule that aimed to improve prognostication by APACHE II with the application of serum suPAR (soluble urokinase plasminogen activator receptor) is developed. METHODS A prospective study cohort enrolled 1914 patients with sepsis ...
OBJECTIVE To examine outcome and associated factors of acute respiratory failure (ARF) in non-HIV-related Pneumocystis pneumonia (PCP) in patients admitted to a medical ICU between 1995 and 2002. DESIGN A retrospective review of medical records and an APACHE (acute physiology and chronic health evaluation) III database. SETTING Academic tertiary medical center. RESULTS We identified 30 pa...
Cephalometric evaluation of Class III malocclusion by a modified TweedMerrifield analysis Mayury Kuramae1 Maria Beatriz Borges de Araújo Magnani2 João Sarmento Pereira Neto2 Darcy Flávio Nouer3 Paulo Roberto Aranha Nouer4 1MDS, DDS Student, FOP/UNICAMP 2DDS, Professor of the Pediatric Clinic, FOP/ UNICAMP 3Chairman, Department of the Pediatric Clinic, FOP/UNICAMP 4Coordinator of the Postgraduat...
BACKGROUND Despite a paucity of validation, the Ranson score is still the most popular method for gauging the severity of pancreatitis. HYPOTHESES The Ranson score more accurately predicts outcomes in patients with severe acute pancreatitis (SAP) when compared with APACHE (Acute Physiology and Chronic Health Evaluation) III scores, and the individual components of the Ranson score differ in t...
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Percutaneous cardiopulmonary support (PCPS) is a widely accepted treatment for severe cardiopulmonary failure. This system, which uses a percutaneous approach and autopriming devices, can be rapidly applied in emergency situations. We sought to identify the risk factors that could help predict in-hospital mortality, and to assess its outcomes in survivors. During a 2-yr period, 50 patients unde...
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