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Predictive value of different scoring systems for early postoperative mortality in patients with a second coronary artery bypass grafting

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Chinese Medical Journal 2014年第4期127卷 614-617页

作者： Zhang Benqing Sun Hansong Hu Shengshou Xu Jianping Wang Wei Song Yunhu Lyu Feng Wu Hengchao Department of Cardiac Surgery Fu Wai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China

Background Coronary artery bypass graft (CABG) has been developed over many years.Recently,an increasing number of patients need a second surgery for relapse of symptoms.In consideration of the high surgical risk,accurate preoperative evaluation is needed.The aim of the study was to assess the predictive value of three different risk scoring system for early postoperative mortality rate in patients with redo-CABG.Methods Seventy-seven patients who underwent redo-CABG in Fu Wai Hospital from January 1997 to June 2013 were enrolled.All patients were retrospectively scored for early postoperative mortality rate using EuroSCORE,STS score and SinoSCORE.Overall expected mortality rates were compared with observed mortality rates.Discrimination was evaluated using receiver operating characteristic (ROC) curves and area under a ROC curve (AUC).Results Four patients died after a redo-CABG 5%.The mortality rates predicted by EuroSCORE,STS score and SinoSCORE were 5.0%,2.2% and 1.4%,respectively.The AUC of the three kinds of score were 0.465,0.543 and 0.528,respectively,indicating a poor correlation between the observed and predicted mortality rates.Conclusion The predictive value of EuroSCORE,STS score and SinoSCORE is poor for early postoperative mortality rate in patients with redo-CABG.

关键词：早期死亡率冠状动脉评分系统预测值患者价值移植旁路

MELD score can predict early mortality in patients with rebleeding after band ligation for variceal bleeding

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World Journal of Gastroenterology 2011年第16期17卷 2120-2125页

作者： Chun-Yen Lin I-Shyan Sheen Tsung-Nan Lin Chun-Jung Lin Wen-Juei Jeng Chien-Hao Huang Yu-Pin Ho Cheng-Tang Chiu Department of Hepato-Gastroenterology Linkou Medical CenterChang Gung Memorial Hospital and Chang Gung University College of Medicine

AIM:To investigate the outcomes,as well as risk factors for 6-wk mortality,in patients with early rebleeding after endoscopic variceal band ligation (EVL) for esophageal variceal hemorrhage (EVH).METHODS:Among 817 EVL procedures performed for EVH between January 2007 and December 2008,128 patients with early rebleeding,defined as rebleeding within 6 wk after EVL,were enrolled for analysis.RESULT:The rate of early rebleeding after EVL for acute EVH was 15.6% (128/817).The 5-d,6-wk,3-mo,and 6-mo mortality rates were 7.8%,38.3%,55.5%,and 58.6%,respectively,in these early rebleeding patients.The use of beta-blockers,occurrence of hypovolemic shock,and higher model for end-stage liver disease (MELD) score at the time of rebleeding were independent predictors for 6-wk mortality.A cut-off value of 21.5 for the MELD score was found with an area under ROC curve of 0.862 (P < 0.001).The sensitivity,specificity,positive predictive value,and negative predictive value were 77.6%,81%,71.7%,and 85.3%,respectively.As for the 6-mo survival rate,patients with a MELD score ≥ 21.5 had a significantly lower survival rate than patients with a MELD score < 21.5 (P < 0.001).CONCLUSION:This study demonstrated that the MELD score is an easy and powerful predictor for 6-wk mortality and outcomes of patients with early rebleeding after EVL for EVH.

关键词：早期死亡率静脉曲张预测值出血患者评分破裂 ROC曲线

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百草枯中毒患者早期死亡率预测的研究

百草枯中毒患者早期死亡率预测的研究

Prognostic factors for late mortality after liver transplantation for benign end-stage liver disease

第七次全国中毒与危重症救治学术年会、第二届宝安急危重症高峰论坛、国家级继续项目“心肺复苏与急危重症学习班”

作者：江甲子刘志中国医科大学附属第一医院急诊科

目的探讨我院急诊科百草枯中毒患者的临床特点及预测其早期死亡率。方法采用回顾性分析,收集我院急诊科2009年1月至2012年12月104例百草枯中毒患者生命体征,临床特点及预后的临床资料进行研究。早期死亡率定义为生存时间小于72小时。结... 详细信息

目的探讨我院急诊科百草枯中毒患者的临床特点及预测其早期死亡率。方法采用回顾性分析,收集我院急诊科2009年1月至2012年12月104例百草枯中毒患者生命体征,临床特点及预后的临床资料进行研究。早期死亡率定义为生存时间小于72小时。结果生存时间大于72小时的患者组比小于72小时患者组具有明显年龄小,百草枯摄入量少的特点。血清肌酐升高及血钾降低是存活时间少于72小时明显的预测因素。早期死亡的患者具有

关键词：早期死亡率百草枯中毒预后

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Chinese Medical Journal 2011年第24期124卷 4229-4235页

作者： ZHANG Ying-cai ZHANG Qi LI Hua ZHANG Jian WANG Gen-shu XU Chi YI Shu-hong YI Hui-min CAI Chang-jie LU Min-qiang YANG Yang CHEN Gui-hua Liver Transplantation Center Third Affiliated Hospital of SunYat-sen University Guangzhou Guangdong 510630 China Guangdong Provincial Key Laboratory of Liver Disease Guangzhou Guangdong 510630 China

背景正在增加在研究在这些 patients.However 的早死亡上集中了的肝 transplantation.Many 以后熬过超过一年的病人的数字，影响长期的幸存的因素不是充分， understood.This 学习试图评估预言长期的幸存的预示的因素并且为改进为良性... 详细信息

背景正在增加在研究在这些 patients.However 的早死亡上集中了的肝 transplantation.Many 以后熬过超过一年的病人的数字，影响长期的幸存的因素不是充分， understood.This 学习试图评估预言长期的幸存的预示的因素并且为改进为良性的结束阶段肝 diseases.Methods

关键词：早期死亡率乙肝病毒肝移植预后晚期末期 ABO血型并发症

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递增式血液透析和透析患者死亡率

中国血液净化 2021年第4期20卷 277-280页

作者：吕诗凡倪兆慧上海交通大学医学院附属仁济医院肾脏科上海200127

维持性血液透析(hemodialysis,HD)患者早期死亡率很高,这可能与初始阶段透析过于频繁有关。目前大多数国家初始透析时采用1周3次的透析方式,而忽略了患者自身残余肾功能(residual renal function,RRF)的作用。近年来,探索更简便的评估RR... 详细信息

维持性血液透析(hemodialysis,HD)患者早期死亡率很高,这可能与初始阶段透析过于频繁有关。目前大多数国家初始透析时采用1周3次的透析方式,而忽略了患者自身残余肾功能(residual renal function,RRF)的作用。近年来,探索更简便的评估RRF的方法的同时,递增式血液透析的关注度也不断提高。多数研究认为,递增式HD可有效减缓RRF下降,并有不差于常规HD的长期生存率。但递增式HD患者早期死亡率相关研究较少。本文将就近年来递增式HD相关研究进展进行简述。

关键词：血液透析递增式血液透析残余肾功能早期死亡率

1994—2003年间Dakar大学教学医院新生儿早期死亡率的变化(法)

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世界核心医学期刊文摘（妇产科学分册） 2006年第8期2卷 61-62页

作者： Cissé C.T. Yacoubou Y. Ndiaye O. 柳蕴 Clinique Gyné cologique et Obsté tricale CHU de Dakar BP 15 745 125222 Dakar/Fann Senegal

Objective. To evaluate early neonatal mortality at the University Teaching Hospital and assess changes in the rate and causes during the last ten years. Material and method. We performed a retrospective analysis of neonatal deaths recorded at the Neonatal and Premature Unit (NPU) in 2003. The results were compared with earlier evaluations. Comparison of proportions was used for statistical analysis to eliminate the random element in rate variations. The significance threshold was ≤ 5% . Results. We registered 364 neonatal deaths: 243 among 4853 newborns in our maternity ward and 121 among 213 newborns transferred from a referring maternity. Early neonatal mortality rate 45.5 per 1,000 live births. Mortality particularly concerned newborns with a birth weight ≤ 2,500 grams (66% ) and Apgar scores ≤ 6. Early neonatal mortality fell significantly since 1994, while overall mortality remained high among newborns transferred from referring maternities. The most frequent causes were premature birth (49% ), acute fetal distress (23% ) and neonatal infection (18% ). Conclusion. Early neonatal mortality has decreased remains at a high level. It could be improved by limiting the number of premature births, neonatal suffering and neonatal infection. In a parallel direction we recommend organizing a perinatal network in Dakar.

关键词： Dakar 大学教学医院早期死亡率死亡登记产科分娩产科病房急性胎儿窘迫围生期统计分析

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周末效应可能增加脑血管病早期死亡率

中华医学杂志 2007年第33期87卷 2357-2357页

作者：柏华四川省成都医学院第一附属医院神经内科 610500

周末效应（weekend effect）与疾病的相关性过去已有所研究和报道，既往探索的思路主要是关注周末或假期的特殊氛围和环境，集中研究在这段时间内容易患哪些疾病，为什么容易患这些疾病；最近的研究有所转向，部分学者开始关注周末时间... 详细信息

周末效应（weekend effect）与疾病的相关性过去已有所研究和报道，既往探索的思路主要是关注周末或假期的特殊氛围和环境，集中研究在这段时间内容易患哪些疾病，为什么容易患这些疾病；最近的研究有所转向，部分学者开始关注周末时间突发某些疾病转送到医院后是否死亡率比平时高一些，为什么会高一些等问题。有些美国学者认为：心脏病患者如果在周末就医，其死亡风险比平时要高一些，原因是在周末做一些检查时需要等候更长的时间，或者不能及时进行手术。

关键词：早期死亡率脑血管病美国学者心脏病患者疾病风险比