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Verfasst von:Ng, Natalie Yu Yi [VerfasserIn]   i
 Ang, Hannah Hui En [VerfasserIn]   i
 Tan, Jacqueline Chieh Ling [VerfasserIn]   i
 Ho, Weng Hoe [VerfasserIn]   i
 Kuan, Win Sen [VerfasserIn]   i
 Chua, Mui Teng [VerfasserIn]   i
Titel:Evaluation for occult sepsis incorporating NIRS and emergency sonography
Verf.angabe:Natalie Yu Yi Ng, Hannah Hui En Ang, Jacqueline Chieh Ling Tan, Weng Hoe Ho, Win Sen Kuan, Mui Teng Chua
E-Jahr:2018
Jahr:27 February 2018
Umfang:7 S.
Fussnoten:Gesehen am 20.04.2020
Titel Quelle:Enthalten in: The American journal of emergency medicine
Ort Quelle:Philadelphia, Pa. : Saunders, 1983
Jahr Quelle:2018
Band/Heft Quelle:36(2018), 11, Seite 1957-1963
ISSN Quelle:1532-8171
Abstract:Purpose - We aim to determine whether the combination of regional tissue oxygen saturation (StO2) measurement using near-infrared spectroscopy (NIRS), inferior vena cava (IVC) collapsibility and ejection fraction (EF) is able to detect occult sepsis. - Methods - We included adult patients in the emergency department with at least one of the following: fever; any one component of the quick sepsis-related organ function assessment (SOFA) score; heart rate≥100 beats per minute; or white cell count <4.0×109/L or >12.0×109/L. StO2 parameters, IVC collapsibility and EF were assessed. Primary outcome was composite of admission to intensive care unit, hypotension requiring fluid resuscitation or vasopressor use, and antibiotic escalation. - Results - We included 184 patients with mean age of 55.4years and slight male predominance (51.6%). Increase in temperature (adjusted odds ratio [aOR] 3.05; 95% confidence interval [CI] 1.16 to 8.02), higher white cell counts (aOR 1.10; 95% CI 1.03 to 1.19), increase in time taken to new StO2 baseline (aOR 1.03; 95% CI 1.01 to 1.06) and reduced EF (aOR 33.9; 95% CI 2.19 to 523.64) had higher odds of achieving the primary outcome. - Conclusion - Change in StO2 and time taken to reach new StO2 baseline, combined with EF could potentially predict sepsis among patients with infection.
DOI:doi:10.1016/j.ajem.2018.02.020
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.ajem.2018.02.020
 Volltext: http://www.sciencedirect.com/science/article/pii/S0735675718301542
 DOI: https://doi.org/10.1016/j.ajem.2018.02.020
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Point-of-care tests
 Sepsis
 Tissue oxygen saturation
 Ultrasonography
K10plus-PPN:1694998088
Verknüpfungen:→ Zeitschrift

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