tailieunhanh - Báo cáo khoa học: "Visualizing multiple organ failure: a method for analyzing temporal and dynamic relations between failing systems and interventions"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Visualizing multiple organ failure: a method for analyzing temporal and dynamic relations between failing systems and interventions. | Available online http content 11 4 417 Letter Visualizing multiple organ failure a method for analyzing temporal and dynamic relations between failing systems and interventions Yusuf Alper Kiliọ Kaya Yorganci and iskender Sayek Hacettepe University School of Medicine Department of General Surgery Ankara Turkey Corresponding author Yusuf Alper Kiliọ yusufa@ Published 6 July 2007 This article is online at http content 11 4 417 2007 BioMed Central Ltd Critical Care 2007 11 417 doi cc5941 Multiple organ failure is common among critically ill patients who have a prolonged stay in the intensive care unit or die. Apart from causing significant morbidity and mortality the treatment for multiple organ failure requires use of limited and costly resources. Although the epidemiology and progression of multiple organ failure are well described it is not possible to conduct detailed and reliable analyses of the temporal relations between failing organs and the effects of interventions for instance institution of antibiotic therapy or surgery . In addition progression of multiple organ failure may differ between patient populations 1 . We describe a method that allows evaluation of the temporal and dynamic nature of multiple organ failure. We developed this approach by using multiple organ failure scores Multiple Organ Dysfunction Score MODS Logistic Organ Dysfunction Score LODS and Sequential Organ Failure Assessment SOFA stored in our critical care database 2-5 . Using these scores we have constructed a surface topogram of organ failure for the entire stay in the intensive care unit using the open source data visualization software OpenDX Visualization Data Explorer version 6 . The software outputs a graphic in which each organ system is represented by a row and the various degrees of organ failure are represented by different colours ranging in order of severity from blue green and yellow to red Figure 1 . This allows clear