Assessment of Poisoning pattern, Severity and Clinical outcome using Clinical Scoring Systems in secondary care public hospital in South India

2019 ◽  
Vol 12 (10) ◽  
pp. 4767
Author(s):  
S. Ponnusankar ◽  
P. Rangadham ◽  
Dilna Roy ◽  
Jennie Joy Kutty ◽  
Pranav Manu ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Secondary Care ◽  
Public Hospital ◽  
South India ◽  
Scoring Systems ◽  
Clinical Scoring

Applicability of clinical scoring systems after transarterial chemoembolisation in the bridging to transplant setting

2018 ◽  
Vol 56 (08) ◽  
pp. e312-e313
Author(s):  
I Mohr ◽  
M Vogeler ◽  
J Pfeiffenberger ◽  
D Sprengel ◽  
M Klauss ◽  
...  
Keyword(s):  
Scoring Systems ◽  
Transarterial Chemoembolisation ◽  
Clinical Scoring ◽  
Bridging To Transplant

scholarly journals Relationship between sensation seeking, alcohol problems and bulimic symptoms: a community-based, longitudinal study

2021 ◽  
Author(s):  
Leon Hirvelä ◽  
Pyry N. Sipilä ◽  
Anna Keski-Rahkonen
Keyword(s):  
Sensation Seeking ◽  
Early Adulthood ◽  
Scoring Systems ◽  
Population Level ◽  
Alcohol Problems ◽  
Community Based ◽  
Level Of Evidence ◽  
Bulimic Symptoms ◽  
Clinical Scoring ◽  
Sensation Seeking Scale

Abstract Purpose The association of bulimic symptoms with sensation seeking is uncertain; however, both behaviors have been linked to alcohol problems. We assessed in a longitudinal, community-based setting whether sensation seeking in adolescence is associated with bulimic symptoms in early adulthood, also accounting for alcohol problems. Methods Finnish men (N = 2000) and women (N = 2467) born between 1974–1979 completed Zuckerman’s sensation seeking scale (SSS) at age 18. Alcohol problems (Malmö-modified Michigan alcoholism screening test (Mm-MAST) and bulimic symptoms [eating disorder inventory-2, bulimia subscale (EDI-Bulimia), population and clinical scoring systems] were defined at age 22–27. We examined relationships between SSS, Mm-MAST, and EDI-Bulimia using Pearson’s correlation coefficient (r) and linear regression. Results Alcohol problems were moderately correlated with sensation seeking and bulimic symptoms (population scoring) among women and men (r = 0.21–0.31). The correlation between sensation seeking and bulimic symptoms (population scoring) was weak among men (r = 0.06, p = 0.006) and even weaker and non-significant among women (r = 0.03, p = 0.214). Adjustment for alcohol problems removed the association between sensation seeking and bulimic symptoms among men. Furthermore, there were no significant correlations between sensation seeking and bulimic symptoms when assessing EDI-Bulimia clinical scoring. Conclusion Sensation seeking and bulimic symptoms were not associated among women. The association between sensation seeking and bulimic symptoms among men was entirely attributable to increased alcohol problems among those with higher sensation seeking. While this association may be important on the population level, its clinical significance may be minor. Level of evidence Level III, well-designed cohort study.

scholarly journals Which Clinical Scoring Systems Are Most Useful in Showing Severity in COVID-19 Patients?

2021 ◽  
Author(s):  
Ishak San ◽  
Emin Gemcioglu ◽  
Salih Baser ◽  
Nuray Yilmaz Cakmak ◽  
Abdulsamet Erden ◽  
...  
Keyword(s):  
High Risk ◽  
Clinical Outcomes ◽  
Predictive Value ◽  
Independent Predictor ◽  
Severe Disease ◽  
Scoring Systems ◽  
High Risk Group ◽  
World Health ◽  
Severe Group ◽  
Clinical Scoring

Abstract IntroductionIn this study, we compare the predictive value of clinical scoring systems that are already in use in patients with COVID-19, including the BCRSS, qSOFA, SOFA, MuLBSTA and HScore, for determining the severity of the disease. Our aim in this study is to determine which scoring system is most useful in determining disease severity and to guide clinicians.Materials and MethodsWe classified the patients into two groups according to the stage of the disease (severe and non-severe) by using the slightly modified and adopted interim guidance of the World Health Organization. Severe cases were divided into a group of surviving patients and a deceased group according to the prognosis. According to admission values, the BCRSS, qSOFA, SOFA, MuLBSTA, and HScore were evaluated at admission using the worst parameters available in the first 24 hours.ResultsOf the 417 patients included in our study, 46 (11%) were in the severe group, while 371 (89%) were in the non-severe group. Of these 417 patients, 230 (55.2%) were men. The median (IQR) age of all patients was 44 (25) years. In multivariate logistic regression analyses, BRCSS in the highest tertile (HR: 6.1, 95% CI: 2.105–17.674, p = 0.001) was determined as an independent predictor of severe disease in cases of COVID-19. In multivariate analyses, qSOFA was also found to be an independent predictor of severe COVID-19 (HR: 4.757, 95% CI: 1.438–15.730, p = 0.011). The area under the curve (AUC) of the BRCSS, qSOFA, SOFA, MuLBSTA, and HScore was 0.977, 0.961, 0.958, 0.860, and 0.698, respectively.ConclusionCalculation of the BRCSS and qSOFA at the time of hospital admission can predict critical clinical outcomes in patients with COVID-19, and their predictive value is superior to that of HScore, MuLBSTA, and SOFA. With early identification of the high-risk group using BRCSS and qSOFA, early interventions for high-risk patients can improve clinical outcomes in COVID-19.

Abstract 15183: Do Two Scoring Systems of Coronary Stenosis, Syntax Score and Gensini Score, Similarly Predict Clinical Outcome After Pci in Patients With Stable Angina Pectoris?

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Naoto Murakami ◽  
Nobuaki Kokubu ◽  
Junichi Nishida ◽  
Mamoru Hase ◽  
Takefumi Fujito ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Coronary Stenosis ◽  
Characteristic Curve ◽  
Scoring Systems ◽  
Syntax Score ◽  
Heart Team ◽  
Gensini Score ◽  
The Mean ◽  
Stable Cad

Background: Few studies have examined if two score systems of coronary stenosis, SYNTAX score and Gensini score, are different as predictors of prognosis in patients with coronary artery disease (CAD). Here we examined this issue in patients with stable CAD after percutaneous coronary intervention (PCI). Methods: We retrospectively analyzed 795 consecutive patients who underwent coronary angiography for suspected stable CAD from January 2007 to August 2012. One hundred fifty-nine patients received PCI according to consensus of the Heart Team in our institute and patients’ consents. Overall severity of coronary stenosis and complexity in each patient was quantified by both the SYNTAX score and Gensini score, and patients were divided into high score group and low score group by the mean of the score in overall patients. Follow-up period was 15.9 ± 14.4 months, and MACE was defined as a composite of cardiac death, myocardial infarction, target vessel revascularization and/or congestive heart failure. Results: The mean SYNTAX score and Gensini score were 19.0 ± 12.4 and 47.8 ± 26.9, respectively. Long-term MACE in a group with high SYNTAX score (≧19, n=71) tended to be higher than a group with low SYNTAX score (<19, n=78), but not significant (Figure 1). However, long-term MACE was significantly higher in a group with high Gensini score (≧48, n=62) than that in a group with low Gensini score (<48, n=97) (Figure 2). In receiver operating characteristic curve analysis, optimal cut-off value of Gensini score to predict MACE was 66.5, of which sensitivity and specificity were 41.2% and 85.6%, respectively (area under curve 0.63, p=0.008). Conclusion: Gensini score is not inferior to SYNTAX in prediction of the clinical outcome after PCI in patients with stable CAD. Prognosis after PCI is favorable in patients with low Gensini score (especially those with GS<66.5).

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