| Shock in the pediatric emergency service: five years' experience. | |
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MedLine Citation:
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PMID: 10910577 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We undertook a retrospective study of the risk factors determining outcome of nontraumatic patients with shock in the pediatric emergency service. From October 1992 through September 1997, 22 patients with the diagnosis of shock were identified, including 11 with septic shock (50%), 7 with hypovolemic shock (32%) and 4 with cardiogenic shock (18%). Their age ranged from 2 months to 19 years old. Among the cases, 14 patients (64%) had other underlying diseases. Gram-negative bacterial sepsis (6/11, 55%), dilated cardiomyopathy (2/4, 50%) and acute gastroenteritis (7/7, 100%) were the most frequent causes of septic, cardiogenic and hypovolemic shock, respectively. In total, 12 patients (55%) died. The mortality rate was high in septic shock (9/11, 82%) and cardiogenic shock patients (3/4, 75%), but low in hypovolemic shock patients (0/7, 0%). The risk factors of poor outcome in patients with shock included thrombocytopenia, prolonged prothrombin time and partial thromboplastin time. Patients with leukopenia, a higher level of C-reactive protein, or under 2 years of age tended to have poor outcome. |
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Authors:
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P Chang; H Y Hsu; M H Chang; F Y Lin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi Volume: 40 ISSN: 1608-8115 ISO Abbreviation: Acta Paediatr Taiwan Publication Date: 1999 Jan-Feb |
Date Detail:
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Created Date: 1999-04-14 Completed Date: 1999-04-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100958202 Medline TA: Acta Paediatr Taiwan Country: CHINA (REPUBLIC : 1949-) |
Other Details:
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Languages: eng Pagination: 9-12 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, National Taiwan University Hospital, Taipei. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Emergency Medical Services* Female Humans Infant Male Retrospective Studies Risk Factors Shock / etiology* |
| Comments/Corrections | |
Comment In:
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Acta Paediatr Taiwan. 1999 Jan-Feb;40(1):4
[PMID:
10910575
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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