scholarly journals Shock Index (SI) dan Modified Shock Index (MSI) sebagai Prediktor Outcome pada Pasien Gawat Darurat: Systematic Review

2020 ◽  
Vol 2 (2) ◽  
pp. 197-207
Author(s):  
Zulkifli B Pomalango
Keyword(s):  
Systematic Review ◽  
Shock Index ◽  
Outcome Parameter

Shock Index dan Modified Shock Index merupakan parameter non invasif dapat digunakan dalam pemantauan status hemodinamika pasien untuk menilai hasil klinis dan memprediksi mortalitas pasien gawat darurat, sehingga dapat membantu penatalaksanaan pada waktu yang tepat terutama dalam pelaksanaan triase di departemen darurat. Penelitian ini bertujuan untuk mengetahui penggunaan parameter Shock Index dan Modified Shock Indeks dalam memprediksi hasil klinis pasien gawat darurat, mengetahui perbandingan penggunaan parameter Shock Index, Modified Shock Indeks dengan Tekanan Darah, Nadi untuk memprediksi hasil klinis pasien gawat darurat dan mengetahui hasil statistik penelitian tentang Shock Index dan Modified Shock Indeks sebagai parameter yang efektif untuk memprediksi hasil klinis pasien gawat darurat. Pencarian artikel jurnal menggunakan kerangka PICO (Population: Pasien gawat darurat, Intervention: parameter Shock Index dan Modified Shock Indeks, Comparison Intervention: Nadi, Tekanan Darah, Outcome: Parameter sederhana untuk mengidentifikasi kondisi pasien gawat darurat. Delapan artikel yang dianalisis dengan rentang waktu antara 2007-2017 (10 tahun), jumlah sampel ± 74.512. Hasilnya menunjukkan secara keseluruhan artikel menyebutkan bahwa Shock Index dan Modified Shock Indeks dapat dan mudah digunakan dalam memprediksi hasil klinis pasien gawat darurat. Shock Index dan Modified Shock Indeks signifikan berkorelasi dengan penanda resiko yang akurat, berupa kematian klinis pada pasien dengan kondisi darurat dan lebih baik dari pada tekanan darah dan detak jantung. Sehingga SI dan MSI dapat direkomendasikan sebagai paramater non invasif guna mendeteksi lebih awal status hemodinamik pasien dan dapat digunakan dalam triase pasien di ruang gawat darurat.

Review article: Shock Index for prediction of critical bleeding post-trauma: A systematic review

2014 ◽  
Vol 26 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Alexander Olaussen ◽  
Todd Blackburn ◽  
Biswadev Mitra ◽  
Mark Fitzgerald
Keyword(s):  
Systematic Review ◽  
Review Article ◽  
Shock Index ◽  
Critical Bleeding

scholarly journals Should we avoid heparin based anticoagulants in “COVID-19 infection-vaccination related thrombosis”? Insights from the HIT like syndrome observed with infected cases. 

2021 ◽  
Author(s):  
Antoine AbdelMassih ◽  
Rafeef Hozaien ◽  
Meryam El Shershaby ◽  
Aya Kamel ◽  
Habiba-Allah Ismail ◽  
...  
Keyword(s):  
Systematic Review ◽  
Venous Thrombosis ◽  
Case Reports ◽  
Cochrane Central Register ◽  
Outcome Parameter ◽  
Prothrombotic State ◽  
Heparin Induced Thrombocytopenia ◽  
Central Register ◽  
The Mean ◽  
Common Pathogenesis

Abstract Background: Recent reports of the prothrombotic states announced in the recipients of the ChAdOx vaccine, similar to HIT sounded alarm bells internationally.The sole outcome parameter of this systematic review was to detect similar cases of Prothrombotic state in COVID-19 infected patientsMethodology: Embase, Medline and the Cochrane Central Register were used to search for specic keywords such as “COVID-19” OR “SARS-CoV-2” AND “Heparin induced thrombocytopenia” for relevant publications up to 1st of April 2021. The systematic review was performed using PRISMA protocol.Results: Nine cases reports/series have been identified including 18 cases, venous thrombosis was the commonest type of observed thrombosis accounting for 72 % of cases, the mean age of cases was 57±4.Conclusion: Similar episodes of HIT were detailed in several case reports of COVID patients. This suggests a common pathogenesis and warrants a screening of all COVID-19 patients presenting with thrombo-embolism using anti-PF4 antibodies and using non heparin based anticoagulants for their management.

scholarly journals Prognostic accuracy of shock index for severe postpartum hemorrhage in high-income country: Protocol for a systematic review and meta-analysis

2021 ◽  
Author(s):  
Yuto Makino ◽  
Kentaro Miyake ◽  
Asami Okada ◽  
Yumie Ikeda ◽  
Yohei Okada
Keyword(s):  
Systematic Review ◽  
Postpartum Hemorrhage ◽  
Meta Analysis ◽  
High Income ◽  
Test Accuracy ◽  
Shock Index ◽  
Summary Receiver Operating Characteristic ◽  
Bivariate Model ◽  
Data Synthesis ◽  
Prognostic Accuracy

Background This review aims to conduct a systematic review and meta-analysis to assess the prognostic value of shock index for prediction of severe Postpartum hemorrhage (PPH) in high-income countries. Method We will perform a systematic review and meta-analysis for diagnostic test accuracy (DTA). We will search CENTRAL, MEDLINE (Ovid), Web of Science, and other sources and include all relevant reports on the prognostic accuracy of shock index for severe PPH. The target condition is defined as severe PPH required higher-level care. Two review authors will independently screen the study eligibility and extract data from included studies. Two authors will also assess study quality using the QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies 2) tool. We will use the hierarchical models comprising both the bivariate model and the hierarchical summary receiver operating characteristic (HSROC) model for data synthesis if appropriate. We presented uncertainty of the accuracy estimates using 95% confidence intervals (CIs).

scholarly journals Evaluation of systemic vasoconstriction and prognosis using thermography: a systematic review

2021 ◽  
Vol 20 (2) ◽  
pp. 131-139
Author(s):  
RO Jensen ◽  
◽  
RSL Lo ◽  
JG Kellett ◽  
CA Graham ◽  
...  
Keyword(s):  
Systematic Review ◽  
Experimental Study ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Stroke Volume ◽  
Disease Progression ◽  
Animal Study ◽  
Clinical Studies ◽  
Shock Index ◽  
Peripheral Temperature

Purpose: This systematic review investigates whether infrared thermography (IRT) can measure systemic vasoconstriction and addresses the value of IRT in assessing circulatory deficiency and prognoses. Methods: Design was based on the PRISMA criteria and a systematic search of 6 databases was performed. Results: Of 3,198 records, five articles were included. Three clinical studies were identified; two found significant correlations between IRT obtained temperatures and mortality. An experimental study found an association between peripheral temperature and stroke volume. An animal study found that central-peripheral temperature differences correlated with shock index, mean arterial pressure, and disease progression. Conclusions: Data from the most valid study suggests that central-peripheral temperature differences should be investigated further, both on its own, and integrated with other variables.

The effects of low-ratio n-6/n-3 PUFA on biomarkers of inflammation: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Yali Wei ◽  
Yan Meng ◽  
Na Li ◽  
Qian Wang ◽  
Liyong Chen
Keyword(s):  
Systematic Review ◽  
Fatty Acid ◽  
Polyunsaturated Fatty Acid ◽  
Meta Analysis ◽  
Chain Polyunsaturated Fatty Acid ◽  
Inflammation Markers ◽  
Pufa Supplementation ◽  
Long Chain

The purpose of the systematic review and meta-analysis was to determine if low-ratio n-6/n-3 long-chain polyunsaturated fatty acid (PUFA) supplementation affects serum inflammation markers based on current studies.

Parent Education in Studies With Nonverbal and Minimally Verbal Participants With Autism Spectrum Disorder: A Systematic Review

2020 ◽  
Vol 29 (2) ◽  
pp. 890-902
Author(s):  
Lynn Kern Koegel ◽  
Katherine M. Bryan ◽  
Pumpki Lei Su ◽  
Mohini Vaidya ◽  
Stephen Camarata
Keyword(s):  
Systematic Review ◽  
Autism Spectrum Disorder ◽  
Parent Education ◽  
Autism Spectrum ◽  
Verbal Communication ◽  
Fidelity Of Implementation ◽  
Spectrum Disorder ◽  
Education Programs ◽  
Minimally Verbal ◽  
Parent Education Programs

Purpose The purpose of this systematic review was to identify parent education procedures implemented in intervention studies focused on expressive verbal communication for nonverbal (NV) or minimally verbal (MV) children with autism spectrum disorder (ASD). Parent education has been shown to be an essential component in the habilitation of individuals with ASD. Parents of individuals with ASD who are NV or MV may particularly benefit from parent education in order to provide opportunities for communication and to support their children across the life span. Method ProQuest databases were searched between the years of 1960 and 2018 to identify articles that targeted verbal communication in MV and NV individuals with ASD. A total of 1,231 were evaluated to assess whether parent education was implemented. We found 36 studies that included a parent education component. These were reviewed with regard to (a) the number of participants and participants' ages, (b) the parent education program provided, (c) the format of the parent education, (d) the duration of the parent education, (e) the measurement of parent education, and (f) the parent fidelity of implementation scores. Results The results of this analysis showed that very few studies have included a parent education component, descriptions of the parent education programs are unclear in most studies, and few studies have scored the parents' implementation of the intervention. Conclusions Currently, there is great variability in parent education programs in regard to participant age, hours provided, fidelity of implementation, format of parent education, and type of treatment used. Suggestions are made to provide both a more comprehensive description and consistent measurement of parent education programs.

Characteristics of the Frequency-Following Response to Speech in Neonates and Potential Applicability in Clinical Practice: A Systematic Review

2020 ◽  
Vol 63 (5) ◽  
pp. 1618-1635
Author(s):  
Céline Richard ◽  
Mary Lauren Neel ◽  
Arnaud Jeanvoine ◽  
Sharon Mc Connell ◽  
Alison Gehred ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cochrane Library ◽  
Neurodevelopmental Outcomes ◽  
Frequency Following Response ◽  
Ovid Medline ◽  
Published Evidence ◽  
Mesh Terms ◽  
Potential Applicability ◽  
Clinical Potential

Purpose We sought to critically analyze and evaluate published evidence regarding feasibility and clinical potential for predicting neurodevelopmental outcomes of the frequency-following responses (FFRs) to speech recordings in neonates (birth to 28 days). Method A systematic search of MeSH terms in the Cumulative Index to Nursing and Allied HealthLiterature, Embase, Google Scholar, Ovid Medline (R) and E-Pub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily, Web of Science, SCOPUS, COCHRANE Library, and ClinicalTrials.gov was performed. Manual review of all items identified in the search was performed by two independent reviewers. Articles were evaluated based on the level of methodological quality and evidence according to the RTI item bank. Results Seven articles met inclusion criteria. None of the included studies reported neurodevelopmental outcomes past 3 months of age. Quality of the evidence ranged from moderate to high. Protocol variations were frequent. Conclusions Based on this systematic review, the FFR to speech can capture both temporal and spectral acoustic features in neonates. It can accurately be recorded in a fast and easy manner at the infant's bedside. However, at this time, further studies are needed to identify and validate which FFR features could be incorporated as an addition to standard evaluation of infant sound processing evaluation in subcortico-cortical networks. This review identifies the need for further research focused on identifying specific features of the neonatal FFRs, those with predictive value for early childhood outcomes to help guide targeted early speech and hearing interventions.

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

2020 ◽  
Vol 5 (1) ◽  
pp. 326-338 ◽  
Author(s):  
Kristen Weidner ◽  
Joneen Lowman
Keyword(s):  
Systematic Review ◽  
Primary Progressive Aphasia ◽  
Future Research ◽  
Service Delivery Model ◽  
Speech Language Pathology ◽  
Review Of The Literature ◽  
Research Designs ◽  
Assessment And Treatment ◽  
Language Pathology ◽  
Screening Assessment

Purpose We conducted a systematic review of the literature regarding adult telepractice services (screening, assessment, and treatment) from approximately 2014 to 2019. Method Thirty-one relevant studies were identified from a literature search, assessed for quality, and reported. Results Included studies illustrated feasibility, efficacy, diagnostic accuracy, and noninferiority of various speech-language pathology services across adult populations, including chronic aphasia, Parkinson's disease, dysphagia, and primary progressive aphasia. Technical aspects of the equipment and software used to deliver services were discussed. Some general themes were noted as areas for future research. Conclusion Overall, results of the review continue to support the use of telepractice as an appropriate service delivery model in speech-language pathology for adults. Strong research designs, including experimental control, across multiple well-described settings are still needed to definitively determine effectiveness of telepractice services.

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