Use of Caries Assessment Spectrum Treatment (CAST) Severity Score in an Adult Population

Pulmonary contusion in the adult population is an independent risk factor for respiratory failure, ventilator associated pneumonia, and acute respiratory distress syndrome. Pilot studies in adults note an increased risk when volume of pulmonary contusion exceeds 20 per cent of total lung volume. The purpose of this study was to determine if children with pulmonary contusion suffer the same morbidity as adults. From January 2005 to May 2007, all trauma patients ages 3 to 18-years-old were assessed for CT evidence of pulmonary contusion. Children were excluded if injury included confounding variables, which could result in respiratory failure independent of contusion status. CT images were reviewed and pulmonary contusion was calculated as a percentage of total lung volume. Outcomes including need for invasive ventilation, pneumonia, and development of oxygenation problems were recorded. Data collected included patient age, Injury Severity Score, arterial blood gas findings, and number of rib fractures. Twenty-six patients met criteria for the study with a mean age of 13.35 years and mean Injury Severity Score of 24. The mean percentage of pulmonary contusion was 19.81 per cent. No patients required intubation. Pediatric pulmonary contusion does not carry the same morbidity as noted in the adult population. Invasive airway management is rarely required.

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Utility of World Society of Emergency Surgery Sepsis Severity Score in Predicting Outcomes of Intra-abdominal Infections

Annals of African Surgery ◽

10.4314/aas.v17i2.5 ◽

2020 ◽

Vol 17 (2) ◽

pp. 65-68

Author(s):

Kinyua Isaiah Mwenda ◽

Daniel Ojuka ◽

Mark Awori

Keyword(s):

Emergency Surgery ◽

Severity Score ◽

Adult Population ◽

Abdominal Sepsis ◽

World Society ◽

Adverse Outcomes ◽

Source Control ◽

Sepsis Severity ◽

Unit Increase ◽

Abdominal Infections

Background: Intra-abdominal infections are classified as simple or complicated. Many tools have been studied to predict risk factors and outcomes of patients with intra-abdominal infections. None of these tools has been adopted for patient care at the Kenyatta National Hospital (KNH), Kenya. Objective: To determine the utility of the World Society of Emergency Surgery (WSES) Sepsis Severity Score in predicting short-term outcomes of patients managed for complicated intra-abdominal infections. Methods: We conducted a hospital-based prospective cohort study. Patients aged 18 years and above with complicated intra-abdominal infections were recruited. Data were obtained on demographics, condition at admission, time to source control, origin of infection, immune suppressants and complications. IBM SPSS version 21.0 was used to obtain means and standard deviations while logistic regression was used for associations. Results: A sepsis severity score of 6.5, best predicted mortality having a sensitivity of 80% and a specificity of 20.9% were obtained. For each unit increase in the WSES scores, the odds of mortality were 2.1, organ dysfunction 2.2, CCU admission 2.1. Conclusion: Our sepsis severity score has demonstrated good performance in our adult population, and also ability to predict adverse outcomes other than mortality in patients managed for intra-abdominal sepsis. Keywords: WSES, Sepsis, Sepsis severity score, Intra-abdominal infections

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Caries assessment spectrum treatment: the severity score

International Dental Journal ◽

10.1111/idj.12331 ◽

2018 ◽

Vol 68 (2) ◽

pp. 84-90 ◽

Cited By ~ 4

Author(s):

Ana Paula D. Ribeiro ◽

Isadora P. Maciel ◽

Ana Luiza de Souza Hilgert ◽

Ewald M. Bronkhorst ◽

Jo E. Frencken ◽

...

Keyword(s):

Severity Score ◽

Caries Assessment

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Application of caries assessment spectrum and treatment instrument for staging and evaluating treatment needs of an adult population - A hospital based cross-sectional study

African Health Sciences ◽

10.4314/ahs.v21i4.48 ◽

2021 ◽

Vol 21 (4) ◽

pp. 1898-904

Author(s):

Agrawal Vineet ◽

Shah Nimisha

Keyword(s):

Adult Population ◽

Training Session ◽

Cross Sectional Study ◽

Adult Patients ◽

Caries Experience ◽

Carious Lesion ◽

Treatment Needs ◽

Cross Sectional ◽

Caries Treatment ◽

Caries Assessment

Background: Application of caries assessment spectrum and treatment (CAST) instrument for staging and evaluating treatment needs of an adult population suffering from dental carious lesionObjectives: Study was conducted with aim of applying CAST instrument for staging adult urban Indian population according to severity of carious lesion and treatment needs required.Methods: Cross-sectional descriptive study was conducted on 300 adult patients. After training session and calibration of examiner, all patients were examined for the caries experience and CAST codes were recorded on a structured proforma.Results: Of 300 adult patients, 18% (54) adults have healthy dentition denoted by codes 0,1, and 2. 12 % and 15.3% adults were in reversible premorbidity stage (code 3) and morbidity stage (codes 4 and 5) respectively. The largest number of adults 29.7% were seen in serious morbidity stage (codes 6 and 7) followed by 21.3% adults in mortality stage (code 8) requiring either root canal treatment or extraction and replacement of teeth as treatment needs.Conclusion: CAST instrument has been found useful in staging adult population suffering with dental carious lesion and evaluating their treatment needs. Moreover, CAST is easy to apply for staging the carious lesion due its hierarchical structure and reporting results in an understandable manner.Keywords: Adults; Caries Assessment Spectrum and Treatment; Dental Caries; Treatment needs.

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