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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.21 No.4
- 발행연도
- 2017.1
- 수록면
- 168 - 173 (6page)
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초록· 키워드
오류제보하기
Background: In this study, we evaluated the prognostic factors in patients with septic shock who were managed at an Emergency Department (ED). Methods: This retrospective study was conducted through a chart review of the emergency medical records of all patients with septic shock who were over 18 years of age and managed and hospitalized in the ED from January 2008 to September 2014 at 1 regional emergency center in South Korea. The outcome sought was mortality at 30 days after ED arrival. Results: Of the 648 patients admitted to the ED during the study period, 187 patients (28.9%) died. Factors associated with 30-day mortality in a multiple logistic regression analysis were elderly patients (>70 years), acute physiology and chronic health evaluation II, leukopenia (white blood cell count<4,000/mm3), prolonged international normalized ratio above 1.2, hypoxemia (pO2<83 mmHg), lactate level (>4.0 mmol/L), pneumonia-related sepsis, and history of tuberculosis, respectively. Conclusion: An age of over 70 years was related to mortality in septic shock; however, other various laboratory results and biomarkers were also related to mortality and some factors even demonstrated a stronger relationship than age. Treatment should not be limited among elderly septic shock patients due to an ED physician’s prejudice. Instead, ED physicians should make decisions regarding the care of septic shock patients by considering various factors including unstable clinical signs, laboratory findings, lactate, and source of infection, in addition to the patient’s age, in order to produce better outcomes.
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등록된 정보가 없습니다.
참고문헌 (3)
참고문헌 신청
Opal SM / 2005 / The immunopathogenesis of sepsis in elderly patients / Clin Infect Dis 41(Suppl 7):S504~S512
Marik PE / 2006 / Management of the critically ill geriatric patient / Crit Care Med 34(9 Suppl):S176~S182
김철희 / 2015 / 요양병원에 입원 중인 환자에서 발생한 폐렴 / Annals of geriatric medicine and research 19(2):80~88
Marik PE / 2006 / Management of the critically ill geriatric patient / Crit Care Med 34(9 Suppl):S176~S182
김철희 / 2015 / 요양병원에 입원 중인 환자에서 발생한 폐렴 / Annals of geriatric medicine and research 19(2):80~88
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