scholarly journals Clinical Performance of Monocyte Distribution Width for Early Detection of Sepsis in Emergency Department Patients: A Prospective Study

2022 ◽  
Vol 42 (2) ◽  
pp. 286-289
Author(s):  
Shinae Yu ◽  
Sae Am Song ◽  
Kyung Ran Jun ◽  
Ha Young Park ◽  
Jeong Nyeo Lee
Keyword(s):  
Emergency Department ◽  
Early Detection ◽  
Prospective Study ◽  
Clinical Performance ◽  
Distribution Width ◽  
Emergency Department Patients ◽  
A Prospective Study

Usefulness of Procalcitonin as a Marker of Systemic Infection in Emergency Department Patients: A Prospective Study

2002 ◽  
Vol 34 (7) ◽  
pp. 895-901 ◽  
Author(s):  
P. Hausfater ◽  
S. Garric ◽  
S. Ben Ayed ◽  
M. Rosenheim ◽  
M. Bernard ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Systemic Infection ◽  
Emergency Department Patients ◽  
A Prospective Study

Characteristics and occurrence of type 2 myocardial infarction in emergency department patients: a prospective study

2017 ◽  
Vol 35 (3) ◽  
pp. 169-175 ◽  
Author(s):  
Jaimi H Greenslade ◽  
Thushani Adikari ◽  
Christian Mueller ◽  
Yader Sandoval ◽  
Thomas Nestelberger ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Prospective Study ◽  
Emergency Department Patients ◽  
A Prospective Study

scholarly journals Independent Validation of Sepsis Index for Sepsis Screening in the Emergency Department

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1292
Author(s):  
Luisa Agnello ◽  
Alessandro Iacona ◽  
Salvatore Maestri ◽  
Bruna Lo Sasso ◽  
Rosaria Vincenza Giglio ◽  
...  
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Early Detection ◽  
Diagnostic Accuracy ◽  
Positive Likelihood Ratio ◽  
Curve Analysis ◽  
Roc Curve Analysis ◽  
Distribution Width ◽  
Independent Validation ◽  
Sepsis Screening

(1) Background: The early detection of sepsis is still challenging, and there is an urgent need for biomarkers that could identify patients at a high risk of developing it. We recently developed an index, namely the Sepsis Index (SI), based on the combination of two CBC parameters: monocyte distribution width (MDW) and mean monocyte volume (MMV). In this study, we sought to independently validate the performance of SI as a tool for the early detection of patients at a high risk of sepsis in the Emergency Department (ED). (2) Methods: We enrolled all consecutive patients attending the ED with a request of the CBC. MDW and MMV were measured on samples collected in K3-EDTA tubes on the UniCel DxH 900 haematology analyser. SI was calculated based on the MDW and MMV. (3) Results: We enrolled a total of 703 patients stratified into four subgroups according to the Sepsis-2 criteria: control (498), infection (105), SIRS (52) and sepsis (48). The sepsis subgroup displayed the highest MDW (median 27.5, IQR 24.6–32.9) and SI (median 1.15, IQR 1.05–1.29) values. The ROC curve analysis for the prediction of sepsis showed a good and comparable diagnostic accuracy of the MDW and SI. However, the SI displayed an increased specificity, positive predictive value and positive likelihood ratio in comparison to MDW alone. (4) Conclusions: SI improves the diagnostic accuracy of MDW for sepsis screening.

scholarly journals Can paediatric emergency clinicians identify and manage clavicle fractures without radiographs in the emergency department? A prospective study

2018 ◽  
Vol 2 (1) ◽  
pp. e000304
Author(s):  
Marie-Pier Lirette ◽  
Benoit Bailey ◽  
Samuel Grant ◽  
Michael Jackson ◽  
Paul Leonard
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Paediatric Emergency ◽  
Clavicle Fractures ◽  
A Prospective Study

scholarly journals Acute benign myositis of childhood: Results of a prospective study performed in a pediatric emergency department

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Vanuza Rosa ◽  
Gabriela Kuzma ◽  
Luana Hornung ◽  
Márcia Bandeira
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Care Providers ◽  
Study Objective ◽  
Gait Abnormality ◽  
The Mean ◽  
A Prospective Study ◽  
Musculoskeletal Involvement

OBJECTIVE: Benign acute childhood myositis is characterized by acute musculoskeletal involvement leading to transient limitations on deambulation followed by a viral illness. Our study objective to evaluate clinical and laboratory features of patients in a pediatric emergency department. METHODOS: We conducted a prospective study in patients with symptoms and laboratory findings compatible with viral myositis in the period of August 2017 to August 2018. RESULTS: We assessed 20 patients in the period of twelve months. The mean age was 8,25 years. Of these, 83,3% had infectious symptoms in the week before the musculoskeletal involvement. By the time of the diagnosis, the symptoms were: calf pain, reluctance to walk, gait abnormality, diffuse myalgia and calf weakness. The most relevant laboratory finding was the elevation of CPK (mean 3359,556U/L) level, followed by AST (mean 131U/L) and ALT (mean 64,66U/L) elevation. The mean time for symptom relief was 3 days and in 7 days all exams were normal. CONCLUSION: Though the exact incidence of this condition remains undetermined, the lower extremity pain and the gait abnormality is of concern of both parents and health care providers. We emphasize the importance of knowing this condition to avoid unnecessary exams and the delay in the diagnosis of severe conditions.

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