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https://www.readbyqxmd.com/read/29435315/fluid-resuscitation-with-lactated-ringer-s-solution-vs-normal-saline-in-acute-pancreatitis-a-triple-blind-randomized-controlled-trial
#1
Enrique de-Madaria, Iván Herrera-Marante, Verónica González-Camacho, Laia Bonjoch, Noé Quesada-Vázquez, Isabel Almenta-Saavedra, Cayetano Miralles-Maciá, Nelly G Acevedo-Piedra, Manuela Roger-Ibáñez, Claudia Sánchez-Marin, Rosa Osuna-Ligero, Ángel Gracia, Pere Llorens, Pedro Zapater, Vikesh K Singh, Rocío Moreu-Martín, Daniel Closa
Background: Little is known regarding the optimal type of fluid resuscitation in acute pancreatitis (AP). Objective: The objective of this article was to compare the effect of lactated Ringer's solution (LR) vs normal saline (NS) in the inflammatory response in AP. Methods: We conducted a triple-blind, randomized, controlled trial. Patients ≥ 18 admitted with AP were eligible. Patients were randomized to receive LR or NS. Primary outcome variables were number of systemic inflammatory response syndrome (SIRS) criteria at 24 hours, 48 hours and 72 hours and blood C-reactive protein (CRP) levels at 48 hours and 72 hours...
February 2018: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/29413723/accuracy-of-sofa-qsofa-and-sirs-scores-for-mortality-in-cancer-patients-admitted-to-an-intensive-care-unit-with-suspected-infection
#2
Ramon T Costa, Antonio P Nassar, Pedro Caruso
PURPOSE: To compare the prognostic accuracy of Sequential Organ Failure Assessment (SOFA) and quick SOFA (qSOFA) with systemic inflammatory response syndrome (SIRS) criteria in critically ill cancer patients with suspected infection. METHODS: Data for 450 cancer patients admitted to an intensive care unit (ICU) in 2014 with a suspected infection were retrospectively analyzed. Sensitivity, specificity, and area under the receiver operating curve (AUC) values for SOFA, qSOFA, and SIRS criteria for ICU and hospital mortalities were calculated...
January 4, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29409518/performance-of-the-quick-sequential-sepsis-related-organ-failure-assessment-score-as-a-prognostic-tool-in-infected-patients-outside-the-intensive-care-unit-a-systematic-review-and-meta-analysis
#3
Jae-Uk Song, Cheol Kyung Sin, Hye Kyeong Park, Sung Ryul Shim, Jonghoo Lee
BACKGROUND: The usefulness of the quick Sequential (Sepsis-related) Organ Failure Assessment (qSOFA) score in providing bedside criteria for early prediction of poor outcomes in patients with suspected infection remains controversial. We investigated the prognostic performance of a positive qSOFA score outside the intensive care unit (ICU) compared with positive systemic inflammatory response syndrome (SIRS) criteria. METHODS: A systematic literature search was performed using MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials...
February 6, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/29404582/prognostic-accuracy-of-the-quick-sequential-organ-failure-assessment-for-mortality-in-patients-with-suspected-infection-a-systematic-review-and-meta-analysis
#4
Shannon M Fernando, Alexandre Tran, Monica Taljaard, Wei Cheng, Bram Rochwerg, Andrew J E Seely, Jeffrey J Perry
Background: The quick Sequential Organ Failure Assessment (qSOFA) has been proposed for prediction of mortality in patients with suspected infection. Purpose: To summarize and compare the prognostic accuracy of qSOFA and the systemic inflammatory response syndrome (SIRS) criteria for prediction of mortality in adult patients with suspected infection. Data Sources: Four databases from inception through November 2017. Study Selection: English-language studies using qSOFA for prediction of mortality (in-hospital, 28-day, or 30-day) in adult patients with suspected infection in the intensive care unit (ICU), emergency department (ED), or hospital wards...
February 6, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29396053/how-well-does-qsofa-correspond-to-underlying-systemic-inflammatory-response
#5
Karolina Akinosoglou, Spyridoula Theodoraki, Theologia Gkavogianni, Aikaterini Pistiki, Evangelos Giamarellos-Bourboulis, Charalambos A Gogos
Need for prompt recognition and management of sepsis recently led to the introduction of qSOFA score. However, its association with underlying host inflammatory response remains unclear, while previous studies have challenged its performance in non - intensive care unit (ICU) patients comparing to previously used systemic inflammatory response syndrome (SIRS) criteria. Between June 2016 and April 2017, we performed a prospective observational study in the medical ward of a tertiary hospital to explore the relation of qSOFA ≥ 2 and <2 to underlying inflammatory response, as this is mirrored in levels of serum pro- and anti-inflammatory mediators i...
January 27, 2018: Cytokine
https://www.readbyqxmd.com/read/29389175/comparability-of-structured-interview-of-reported-symptoms-sirs-and-structured-interview-of-reported-symptoms-second-edition-sirs-2-classifications-with-external-response-bias-criteria
#6
Jessica L Tylicki, Dustin B Wygant, Anthony M Tarescavage, Richard I Frederick, Elizabeth A Tyner, Robert P Granacher, Martin Sellbom
Rogers, Sewell, and Gillard (2010) released a revised version of the Structured Interview of Reported Symptoms (SIRS; Rogers, Bagby, & Dickens, 1992), the SIRS-2, which introduced several new scales, indices, and a new classification model with the overall goal of improving its classification of genuine versus feigned presentations. Since the release of the SIRS-2, several concerns have been raised regarding the quality of the SIRS-2 development and validation samples and the method used to calculate classification accuracy estimates...
February 1, 2018: Psychological Assessment
https://www.readbyqxmd.com/read/29387932/comparison-of-super-mini-pcnl-smp-versus-miniperc-for-stones-larger-than-2%C3%A2-cm-a-propensity-score-matching-study
#7
Yang Liu, Jad AlSmadi, Wei Zhu, Yongda Liu, Wenqi Wu, Junhong Fan, Yu Lan, Wayne Lam, Wen Zhong, Guohua Zeng
PURPOSE: To compare the efficacy and safety of Super-mini percutaneous nephrolithotomy (SMP, F12-F14) and Miniperc (F18) in the treatment of renal stones of 2-4 cm in size. METHODS: A prospective comparative analysis of outcomes of patients who underwent SMP and Miniperc for treatment of 2-4 cm renal stones was conducted between July 2014 and January 2017. Demographic data, stone criteria, operative technique, complications, blood transfusion, hemoglobin decrease, stone-free rate (SFR) and length of hospital stay were compared between the two groups...
January 31, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29382396/higher-cut-off-serum-procalcitonin-level-for-sepsis-diagnosis-in-metastatic-solid-tumor-patients
#8
Segal Abdul Aziz, Erni Juwita Nelwan, Lugyanti Sukrisman, Suhendro Suhendro
OBJECTIVE: The current study aimed to know procalcitonin levels in patients with metastatic tumor, and to discover the cut-off point for sepsis in this population. A cross-sectional study was conducted with patients with solid tumor. Sepsis and systemic inflammation response syndrome (SIRS) were identified using clinical, laboratory, and microbiological criteria. The cut-off point was determined using receiver operating characteristic (ROC) curve. RESULTS: A total of 112 subjects enrolled in this study, 51% male, mean age 47...
January 30, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29369071/using-system-inflammatory-response-syndrome-as-an-easy-to-implement-sustainable-and-automated-tool-for-all-cause-deterioration-among-medical-inpatients
#9
Robert L Fogerty, L Scott Sussman, Kathleen Kenyon, Fangyong Li, Nitin Sukumar, Alan S Kliger, Kurt Acker, Christopher Sankey
OBJECTIVES: Clinical deterioration detection among adult inpatients is known to be suboptimal, and many electronic health record tools have been developed to help identify these patients. Many of these tools are focused on sepsis spectrum disorders, but the evolution of the definition of sepsis is moving toward increased specificity, which may make automated detection of clinical deterioration from nonsepsis-related conditions less likely. The objectives of this study were to develop and to examine the use of a low-cost, highly sustainable deterioration detection tool based on systemic inflammatory response syndrome (SIRS) criteria...
January 23, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29364019/nice-guidance-on-sepsis-is-of-limited-value-in-postoperative-colorectal-patients-the-scores-that-cry-wolf
#10
Pjj Herrod, M Cox, H Keevil, Kje Smith, J N Lund
Background and aims Late recognition of sepsis and consequent death remains a problem. To address this, the National Institute for Health and Care Excellence has published updated guidance recommending the use of the Quick Sequential Organ Failure Assessment (Q-SOFA) score when assessing patients at risk of sepsis following the publication of the Third International Consensus Definitions for Sepsis and Septic Shock. The trauma from major surgery produces a systemic inflammatory response syndrome (SIRS) postoperatively as part of its natural history, which may falsely trigger scoring systems...
January 24, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29355796/clinical-utility-of-serum-procalcitonin-level-and-infection-in-the-neurosurgical-intensive-care-unit
#11
Lauren E Rotman, Bonita S Agee, Gustavo Chagoya, Matthew C Davis, James M Markert
OBJECTIVE: Procalcitonin, a blood stream inflammatory biomarker, has shown to be useful in the diagnosis of sepsis in critically ill patients treated in medical and surgical intensive care units. This study aims to further our understanding of procalcitonin levels in Neuroscience Intensive Care Unit (NICU) patients. METHODS: Neurosurgical patients who underwent procalcitonin assay in the NICU over a two-year period were included. Procalcitonin equal to or above 0...
January 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29318180/systemic-inflammatory-response-syndrome-infection-and-outcome-in-intracerebral-hemorrhage
#12
Amelia K Boehme, Mary E Comeau, Carl D Langefeld, Aaron Lord, Charles J Moomaw, Jennifer Osborne, Michael L James, Sharyl Martini, Fernando D Testai, Daniel Woo, Mitchell S V Elkind
Objective: Systemic inflammatory response syndrome (SIRS) may be related to poor outcomes after intracerebral hemorrhage (ICH). Methods: The Ethnic/Racial Variations of Intracerebral Hemorrhage study is an observational study of ICH in whites, blacks, and Hispanics throughout the United Sates. SIRS was defined by standard criteria as 2 or more of the following on admission: (1) body temperature <36°C or >38°C, (2) heart rate >90 beats per minute, (3) respiratory rate >20 breaths per minute, or (4) white blood cell count <4,000/mm3 or >12,000/mm3...
March 2018: Neurology® Neuroimmunology & Neuroinflammation
https://www.readbyqxmd.com/read/29289687/a-comparison-of-the-quick-sofa-and-systemic-inflammatory-response-syndrome-criteria-for-the-diagnosis-of-sepsis-and-prediction-of-mortality-a-systematic-review-and-meta-analysis
#13
Rodrigo Serafim, José Andrade Gomes, Jorge Salluh, Pedro Póvoa
BACKGROUND: Several studies were published to validate the quick Sepsis-related Organ Failure Assessment (qSOFA), namely in comparison with the systemic inflammatory response syndrome (SIRS) criteria. We performed a systematic review and meta-analysis with the aim of comparing the qSOFA and SIRS in patients outside the ICU. METHODS: We searched MEDLINE, CINAHL, and the Web of Science database from February 23, 2016 until June 30, 2017 to identify full-text English-language studies published after the Sepsis-3 publication comparing the qSOFA and SIRS and their sensitivity or specificity in diagnosing sepsis, as well as hospital and ICU length of stay and hospital mortality...
December 28, 2017: Chest
https://www.readbyqxmd.com/read/29282627/association-between-splenic-contraction-and-the-systemic-inflammatory-response-after-acute-ischemic-stroke-varies-with-age-and-race
#14
Alicia Zha, Farhaan Vahidy, Jaskaren Randhawa, Kaushik Parsha, Thanh Bui, Jaroslaw Aronowski, Sean I Savitz
Animal models have demonstrated the deleterious contribution of splenic immunocytes on secondary brain injury after stroke. While previous work has demonstrated splenic contraction (SC) in patients with acute ischemic stroke (AIS) and intracranial hemorrhage (ICH), no clinical studies have examined the relationship between the systemic inflammatory response syndrome (SIRS) with SC in stroke patients. This is a retrospective analysis of a previous prospective observational study where daily spleen sizes were evaluated in 178 acute stroke patients...
December 27, 2017: Translational Stroke Research
https://www.readbyqxmd.com/read/29217492/the-potential-role-of-ideal-mri-for-identification-of-lipids-and-hemorrhage-in-carotid-artery-plaques
#15
Faisal Khosa, Rachel E Clough, Xiaoen Wang, Ananth J Madhuranthakam, Robert L Greenman
Hemorrhage and lipid deposits contribute to instability in atherosclerotic plaques. Unstable carotid artery plaques can lead to cerebral ischemic events. While MRI studies have shown the ability to identify plaque components, the identification of hemorrhage and lipids has proven to be problematic. The purpose of this study was to quantitatively evaluate the potential of the MRI fat/water separation method known as iterative decomposition of water and fat with echo asymmetry and least squares estimation (IDEAL) to complement and improve existing methods for the identification of hemorrhage and lipids in carotid artery plaques...
December 4, 2017: Magnetic Resonance Imaging
https://www.readbyqxmd.com/read/29205679/prevalence-and-characteristics-of-human-parechovirus-and-enterovirus-infections-in-febrile-infants
#16
Kentaro Sano, Hiromichi Hamada, Shoko Hirose, Kenta Sugiura, Satoko Harada, Mai Koizumi, Mayumi Hara, Haruna Nishijima, Masakatsu Taira, Atsushi Ogura, Tomoko Ogawa, Jun-Ichi Takanashi
BACKGROUND: Human parechovirus (HPeV) and human non-polio enterovirus (EV) are important causes of fever without sources (FWS) in young infants. Their prevalence and clinical characteristics are largely unknown in Asian countries. This study was conducted to elucidate the epidemiology and clinical characteristics of HPeV and EV infections in febrile young infants in Japan. METHODS: During February 2010 - August 2015, we obtained 53 stool, 44 throat swab, and 20 cerebrospinal fluid (CSF) samples from 56 infants (<3 months) with FWS at a single hospital...
December 5, 2017: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/29185959/recommendations-for-the-use-of-biologics-and-other-novel-drugs-in-the-treatment-of-psoriatic-arthritis-2017-update-from-the-italian-society-of-rheumatology
#17
Antonio Marchesoni, Ignazio Olivieri, Carlo Salvarani, Nicolò Pipitone, Salvatore D'Angelo, Alessandro Mathieu, Alberto Cauli, Leonardo Punzi, Roberta Ramonda, Raffaele Scarpa, Mara Maccarone, Ennio Lubrano
OBJECTIVES: To update the 2011 Italian Society of Rheumatology (SIR) recommendations for the use of biologics and other novel agents in the treatment of psoriatic arthritis (PsA). METHODS: To create this new set of recommendations, the SIR "Spondyloartritis and Psoriatic Arthritis study group - A. Spadaro" went through the following steps: literature search, identification of the items of interests for each of the four previously identified clinical domains of PsA and the different treatment phases, achievement of the consensus on all topics, and generation of the recommendations...
November 2017: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/29179281/-effects-of-different-computed-high-b-values-on-diffusion-weighted-imaging-scores-in-prostate-imaging-reporting-and-data-system-version-2-of-prostate-cancer-in-peripheral-zone
#18
W Wang, Z H Shao, J Q Zeng, D L Wu, G L Wang, P J Wang
Objective: To determine the effects of different computed high b-value on diffusion weighted imaging (DWI) scores in Prostate Imaging Reporting and Data System version 2 (PI-RADS v2) of prostate cancer in peripheral zone. Methods: A retrospective study of 104 cases of prostate cancer in peripheral zone was conducted, all of the patients were histopathologically confirmed by transrectal ultrasound guided saturation biopsy or radical prostatectomy in Tongji Hospital of Tongji University from January 2012 to December 2015...
November 21, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29166908/mathematical-models-for-predicting-human-mobility-in-the-context-of-infectious-disease-spread-introducing-the-impedance-model
#19
Kankoé Sallah, Roch Giorgi, Linus Bengtsson, Xin Lu, Erik Wetter, Paul Adrien, Stanislas Rebaudet, Renaud Piarroux, Jean Gaudart
BACKGROUND: Mathematical models of human mobility have demonstrated a great potential for infectious disease epidemiology in contexts of data scarcity. While the commonly used gravity model involves parameter tuning and is thus difficult to implement without reference data, the more recent radiation model based on population densities is parameter-free, but biased. In this study we introduce the new impedance model, by analogy with electricity. Previous research has compared models on the basis of a few specific available spatial patterns...
November 22, 2017: International Journal of Health Geographics
https://www.readbyqxmd.com/read/29147641/severity-of-acute-zika-virus-infection-a-prospective-emergency-room-surveillance-study-during-the-2015-2016-outbreak-in-suriname
#20
Pieter Vroon, Jimmy Roosblad, Fauzia Poese, Jan Wilschut, John Codrington, Stephen Vreden, Rens Zonneveld
Acute Zika virus (ZIKV) infection is usually mild and self-limiting. Earlier, we reported three cases of fatal acute ZIKV infection in patients without typical signs of ZIKV, but rather with criteria of systemic inflammation response syndrome (SIRS). To follow up these observations, we prospectively included patients at the emergency room with temperature instability and suspected to have acute ZIKV infection, SIRS, or both. A total of 102 patients were included of whom N = 21 (21%) were suspected of acute ZIKV infection, N = 56 (55%) of acute ZIKV infection with SIRS criteria, and N = 25 (24%) of SIRS alone...
2017: IDCases
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