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World Journal of Emergency Medicine 2024年第1期15卷 52-55页

作者： Miao Bian Zhihao Wang Yanling Chen Yue Sun Hongsen Ji Yutao Wang Li Pang Department of Respiratory Qianwei Hospital of Jilin ProvinceChangchun 130012China Department of Geriatrics Jilin Provincial Geriatric Medicine Clinical Research Centerthe First Hospital of Jilin UniversityChangchun 130021China Department of Emergency the First Hospital of Jilin UniversityChangchun 130021China The First Operating Room the First Hospital of Jilin UniversityChangchun 130021China

Sepsis is a lethal condition characterized by multiple organ dysfunction due to disrupted host responses to severe infections.[1]Aff ected patients often have a Sequential Organ Failure Assessment(SOFA)score≥2.[2]Patients with a SOFA score<2 and at least one of the following were considered as“suspected sepsis”:(1)quick SOFA(qSOFA)score≥2;(2)SOFA score=1;or(3)National Early Warning Score(NEWS)4-6.[3]Compared with studies on fluid resuscitation in sepsis patients,there are few studies on fluid management in patients with suspected ***,we conducted a retrospective cohort study to evaluate the relationship between fluid management and disease progression in suspected sepsis patients.

关键词： patients sepsis admitted

A retrospective analysis of gender among patients admitted to a clinical decision unit at risk for acute coronary syndrome

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World Journal of Emergency Medicine 2023年第2期14卷 133-137页

作者： Joby Thoppil Lauren Kraut Collin Montgomery Wilfrido Castillo Robert Silverman Sanjey Gupta Frederick Davis Department of Emergency Medicine University of Texas Southwestern Medical CenterTexas 75002USA Department of Emergency Medicine Long Island Jewish Medical CenterQueens NY 11040USA Department of Emergency Medicine South Shore HospitalBay Shore NY 11706USA

INTRODUCTION Chest pain is a common chief complaint and encompasses nearly 5.2% of all patients seen in emergency departments(ED). In the United States, this accounts for approximately six million annual visits.[1-4]The evaluation of patients with chest pain in the ED is a time-consuming and challenging process because the physician must identify those with life-threatening cardiac chest pain, while avoiding unnecessary and costly evaluations of those with non-cardiac chest pain.

关键词： admitted consuming patients

Applications of mPCR testing reduced initial antibiotic use and duration of mechanical ventilation in virus-infected children with severe community-acquired pneumonia admitted to the PICU

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World Journal of Pediatrics 2022年第6期18卷 449-452页

作者： Chao-Nan Fan Bo-Liang Fang Heng-Miao Gao Ru-Bo Li Guo-Yun Su Yi-Yang Mao Yu-Shan He Yue Wang Xiao-He Zhou Liang-Ming Cai Ye-Qing wang Jennifer A.Blumenthal Su-Yun Qian Pediatric Intensive Care Unit Beijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthNo.56 Nan-Li-Shi RoadBeijing100045China Division of Critical Care Medicine/Bader 6 Department of AnesthesiologyCritical Care and Pain MedicineBoston Children’s Hospital and Harvard Medical School300 Longwood AvenueBostonMA02115USA

Community-acquired pneumonia(CAP)remains the leading cause of morbidity and mortality among children *** is critical for these patients to select and timely initiate appropriate empirical antimicrobial therapy against the causative pathogens[1].However,conventional pathogen-detecting methods,such as culture and serology,have no prospect of altering empiric therapy owing to their time delay in obtaining results and to their lower detection rates[2].Recent advances in molecular diagnostic assays,such as multiplex polymerase chain reaction PCR(mPCR)methods,have been used to detect multiple pathogens in CAP simultaneously within two hours and have dramatically improved the ability to diagnose respiratory pathogens[3].However,whether this molecular diagnosis method can reduce the use of antibiotics and can improve prognosis in severe CAP children,especially those less than 5 years old,remains to be explored.

关键词： admitted pneumonia diagnosis

Machine learning for the prediction of acute kidney injury in patients with acute pancreatitis admitted to the intensive care unit

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Chinese Medical Journal 2022年第23期135卷 2886-2887页

作者： Yisong Cheng Jie Yang Qin Wu Lili Cao Bo Wang Xiaodong Jin Yan Kang Zhongwei Zhang Min He Department of Critical Care Medicine West China HospitalSichuan UniversityChengduSichuan 610041China Chengdu University Institute of Basic Medical CollegeChengduSichuan 610106China

To the Editor:Acute kidney injury(AKI)is a well-known and critical complication of acute pancreatitis in intensive care units(ICUs).Patients with acute pancreatitis who developed AKI had a significantly higher mortality than those without AKI.[1]Currently,the diagnosis of AKI in acute pancreatitis patients includes a sudden decrease in glomerular filtration rate manifested by an increase in serum creatinine or oliguria within 48 h to 7 days.[2]However,kidney damage occurs unstoppably when creatinineincreases or urine output *** study aimed to establish prediction models based on the machine learning algorithm and traditional logistic regression method only with commonly collected variables when admitted to the ICU,and we also compared their performance for predicting the occurrence of AKI in patients with acute pancreatitis.

关键词： admitted pancreatitis kidney

Panic disorder in COVID-19 patients admitted in a tertiary care hospital in South India

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Asian Pacific Journal of Tropical Medicine 2022年第8期15卷 379-380页

作者： Lakshmi KP Subhash Chandra Dipu Thareparambil Sathyapalan Kudrat Jain Department of Psychiatry Amrita Institute of Medical sciences and Research CentreKochiKeralaIndia Department of General Medicine Amrita Institute of Medical sciences and Research CentreKochiKeralaIndia

COVID-19 has led to an increase in psychiatric disorders,stress,trauma and suicidal *** published in the Lancet in 2021 have identified anxiety disorder as the most frequently diagnosed psychiatric disorder in COVID-19 survivors[1].Fear conditioning and hyper-vigilance towards abnormal breathing patterns attributable to COVID-19 or not,can act as etiological and maintenance factors of panic,and hence we should expect an onset or aggravation of panic disorder in COVID-19[2].

关键词： admitted patients hence

Factors associated with in-hospital mortality in sepsis patients admitted to the emergency department:A retrospective study

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实用休克杂志（中英文） 2023年第4期7卷 250-256页

作者： Song Kun Guo Cuirong He Liudang Su Yingjie Ding Ning Department of Emergency Medicine The Affiliated Changsha Central HospitalHengyang Medical SchoolUniversity of South ChinaChangshaChina

Objective Most patients with sepsis were diagnosed in the emergency department when admitted to the hospital. This study aimed to explore independent factors for hospital mortality in sepsis patients in the emergency *** It was a retrospective study. All patients with sepsis admitted to the emergency department of Changsha Central Hospital between 1 July 2020 and 1 July 2021 were included. Variables that showed significant differences between the survivor group and the non-survivor group were caculated in multivariate logistic regression analysis. Independent factors associated with in-hospital mortality in sepsis were *** A total of 194 patients were included in this study. In-hospital mortality was 17.01%(n=33). Two independent risk factors including albumin(ALB) and urea nitrogen were identified by multivariate logistic regression analysis. The optimal cut-off values of ALB and urea nitrogen were 26.5g/L and 8.03mmol/L. While combined ALB and urea nitrogen, the area under the ROC curve(AUC) was 0.790, which was superior to the SOFA, qSOFA, and APACHEⅡ*** Independent factors including ALB and urea nitrogen for in-hospital mortality in sepsis in the emergency department were identified. It could help physicians identify those patients with a higher risk of a poor prognosis early and easily, so intervention and management could be performed quickly.

关键词： admitted patients sepsis

NEW STUDY FINDS ACCIDENTAL ALTERATION OF WATER TEMPERATURE AT THE TAP WHILST BATHING WAS INVOLVED IN MORE THAN 55% OF INJURIES IN PEOPLE admitted WITH TAP WATER SCALDS TO AUSTRALIAN AND NEW ZEALAND BURN CENTERS

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水务世界 2022年第5期 29-30页

作者： Yvonne Singer The Alfred Asia Pacific Representative International Society of Burn Injuries Prevention Committee International Society of Burn Injuries American Burn Association Quality and Registry Committee

Scalds caused from hot tap water can have devastating outcomes and lifelong consequences for survivors.A 2020 study conducted by the Australian and New Zealand professional burns community using data from the Burn Registry of Australia and New Zealand highlighted the frequency,demographic profile and in-hospital outcomes of people with tap water scalds admitted to Australian and New Zealand burn services between 2010,and 2018.

关键词： admitted consequences Zealand

Anti-voltage-gated potassium channel complex antibody-mediated limbic encephalitis:a case report of a 53-yearold man admitted to intensive care psychiatric unit with psychotic mania

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General Psychiatry 2020年第4期33卷 241-244页

作者： Homayun Shahpesandy Rosemary Mohammed-Ali Ahmed Oladosu Tarik AI-Kubaisy Moses Anene Umesh Sira Ramaiah The Hartsholme Centre Lincolnshire Partnership NHS Foundation TrustLincolnUK Spalding Community Mental Health Team Lincolnshire Partnership NHS Foundation TrustSpaldingUK Early Intervention Psychosis Team Consultant Psychiatrist North Lincolnshire Community Mental HealthRotherham Doncaster NHS Foundation TrustScunthorpeUK Peter Hodgkinson Centre Lincolnshire Partnership NHS Foundation TrustLincolnUK Psychiatric Liaison Team Lincolnshire Partnership NHS Foundation TrustLincolnUK

Limbic encephalitis represents a cluster of autoimmune disorders,with inflammation in the medial temporal lobe characterised by subacute onset of neuropsychiatric symptoms such as anxiety,affective symptoms,psychosis,short-term memory impairment as well as faciobrachial and grand mal *** aim to present a case of a 53-year-old man with positive anti-voltage-gated potassium channel(VGKC)complex antibodies who initially presented with symptoms of psychotic *** weeks post-psychiatric symptomatology,he presented with neurological symptoms such as faciobrachial jerking and tonic-clonic *** patient had no previous psychiatric history and was initially treated with psychotropic *** experience emphasises the fact that limbic encephalitis is not easy to identify as most patients initially present with psychiatric symptomatology than neurological ***,immunological and laboratory testing takes a rather long time to determine the *** is more,few psychiatrists consider autoimmune nature of the neuropsychiatric ***,it is important to consider autoimmune encephalitis in patients with new-onset psychosis or mania who also present with neurological symptoms at some stage of their *** indicators of autoimmune encephalitis include neurological symptoms such as facial twitching,seizures,confusion and cognitive decline.

关键词： initially potassium admitted

Outcome predictors for severely brain-injured patients directly admitted or transferred from emergency departments to a trauma center

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World Journal of Emergency Medicine 2020年第2期11卷 120-121页

作者： Ryne Jenkins Nicholas A.Morris Bryce Haac Richard Van Besien Deborah MStein Neeraj Badjatia Amir Medic Gaurika Mester Quincy K.Tran Program in Trauma The R Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimoreMDUSA Section of Neurocritical Care and Emergency Neurology Department of NeurologyUniversity of Maryland School of MedicineBaltimoreMDUSA University of Maryland School of Medicine BaltimoreMDUSA University of Maryland at College Park College ParkMDUSA Department of Emergency Medicine University of Maryland School of MedicineBaltimoreMDUSA

Dear editor,After sustaining severe traumatic brain injury(TBI),patients frequently require invasive mechanical ventilation(MV).However,up to 26%of patients require tracheostomy due to failure to wean from the ventilator.[1]The decision of when to perform tracheostomy is important as it balances the risk between avoiding prolonged MV and avoiding risk of *** predictors for tracheostomy,i.e.,clinical factors when patients first present to an Emergency Department after trauma or when patient fi rst arrive at a regional trauma center,can help clinicians’medical decision-making process.

关键词： patients admitted trauma

Delirium Severity and Correlates among Medical Inpatients admitted through Accident and Emergency Unit of Jos University Teaching Hospital

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Open Journal of Emergency Medicine 2018年第3期6卷 31-42页

作者： Lubuola I. Bamidele Aishatu Y. Armiya’u Yusufu T. Maigari Opeyemi F. Akinyemi Taiwo J. Obindo Department of Psychiatry Jos University Teaching Hospital Jos Nigeria Department of Psychiatry University of Jos/Jos University Teaching Hospital Jos Nigeria

Background: Delirium is one of the most common medical emergencies and is associated with poor outcomes including: mortality, prolonged length of stay and poor functional outcome. The more severe delirium is the worst the clinical outcomes of medical illness. Despite the obvious, not much has been documented on delirium severity and its associated factors among medical inpatients in low income countries including Nigeria. Objectives: This study was conducted to examine the severity of delirium among medical inpatients admitted through the Accident and Emergency unit of Jos University Teaching Hospital as well as to assess its associated Sociodemographic and Clinical characteristics. Method: This was a cross-sectional study that employed a consecutive sampling technique to select 290 eligible subjects from medical inpatients that presented to Accident and Emergency unit of Jos University Teaching Hospital. On admission, patients were assessed for delirium using Confusion Assessment Method and severity of delirium was evaluated using Delirium Rating Scale-Revised-98. Results: Of the 105 delirious medical inpatients, 48 (45.7%) had severe delirium, 41 (39.1%) developed less severe delirium while 16 (15.2) presented with no severe delirium. Sociodemographic characteristics found to be significantly associated with less to more severe delirium include male gender (P = 0.001), nonprofessionals (P = 0.003), income range of N20,000 - N49,000 (P Conclusion: This study demonstrates that delirium is often associated with higher severity in Accident and Emergency unit admission and there are strongly associated clinical characteristics to watch out for in high risk medical inpatients.

关键词： Delirium Severity and Correlates among Medical Inpatients admitted through Accident and Emergency Unit of Jos University Teaching Hospital