| Determinants of organ malfunction or death in patients with intra-abdominal sepsis. A discriminant analysis. | |
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MedLine Citation:
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PMID: 6849639 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred and six patients found at operation to have intra-abdominal sepsis were prospectively followed up to determine the incidence of organ malfunction and death. These outcomes were correlated with age, preexisting disease, underlying cause of sepsis, shock, nutritional status, and alcoholism. Organ malfunction occurred in 31 patients (29%), 19 (61%) of whom died. Two (3%) of 75 patients without organ malfunction died. Discriminant analysis revealed a significantly increased risk of death in patients with shock at any time, age greater than 65 years, alcoholism, bowel infarction, or malnutrition. A discriminant equation based only on preoperative variables correctly assigned the outcome of death or survival in 97 (92%) of the patients based on probabilities derived from this analysis. At present, this information is primarily of interest for researchers comparing outcomes in groups of patients, but with additional refinements it may become clinically useful for individual patients. |
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Authors:
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R W Pine; M J Wertz; E S Lennard; E P Dellinger; C J Carrico; B H Minshew |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 118 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1983 Feb |
Date Detail:
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Created Date: 1983-02-25 Completed Date: 1983-02-25 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 242-9 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen* Age Factors Aged Alcoholism / complications Humans Infarction / complications Infection / complications, diagnosis, mortality* Intestines / blood supply Multiple Organ Failure / complications* Nutrition Disorders / complications Prognosis Prospective Studies Risk Shock / complications Statistics as Topic |
| Grant Support | |
ID/Acronym/Agency:
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GM 07037/GM/NIGMS NIH HHS; KO4 A100290//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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