tailieunhanh - Báo cáo y học: "Development of a triage protocol for patients presenting with gastrointestinal hemorrhage: a prospective cohort study"

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: Development of a triage protocol for patients presenting with gastrointestinal hemorrhage: a prospective cohort study. | Available online http content 1 2 2 R57 Research Development of a triage protocol for patients presenting with gastrointestinal hemorrhage a prospective cohort study Aneesa M Das1 Namita Sood2 Katherine Hodgin3 Lydia Chang4 and Shannon S Carson4 1Sleep Institute of Augusta 3685 Wheeler Road Suite 101 Augusta GA 30909 USA 2201 Davis Heart and Lung Research Institute 473 West 12th Avenue Columbus OH 43210 USA 3University of Colorado Health Sciences Center 4200 East 9th Avenue Mailbox C272 Denver CO 80262 USA 4Division of Pulmonary and Critical Care Medicine 130 Mason Farm Road 4th Floor Bioinformatics Building CB 7020 University of North Carolina at Chapel Hill NC 27599-7020 USA Corresponding author Shannon S Carson scarson@ Received 28 Jan 2008 Revisions requested 20 Feb 2008 Revisions received 8 Apr 2008 Accepted 22 Apr 2008 Published 22 Apr 2008 Critical Care 2008 12 R57 doi cc6878 This article is online at http content 12 2 R57 2008 Das et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Many patients presenting with acute gastrointestinal hemorrhage GIH are admitted to the intensive care unit ICU for monitoring. A simple triage protocol based upon validated risk factors could decrease ICU utilization. Methods Records of 188 patients admitted with GIH from the emergency department ED were reviewed for BLEED criteria visualized red blood systolic blood pressure below 100 mm Hg elevated prothrombin time PT erratic mental status and unstable comorbid disease and complication within the first 24 hours of admission. Variables associated with early complication were reassessed in 132 patients prospectively enrolled as a validation cohort. A triage .

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