HYPOTHESIS Since the early 1990s, the laparoscopic technique has been increasingly used for the treatment of perforated peptic ulcer. It is important to validate a risk scoring system that can stratify patients into various risk groups before comparing the treatment outcome of laparoscopic repair against that of conventional open surgery. The scoring system should be able to predict the likelih...

BACKGROUND Studies have illustrated that the breakdown of tight junction (TJ) contributed to an increase in vascular permeability in response to stimulation of inflammatory cytokines. Additionally, the release of TJ-associated proteins into the circulation was observed in many diseases. The present study was designed to investigate whether plasma levels of TJ-associated proteins could serve as ...

aim and background: the estimation systems of mortality based on severity of disease are increasingly popularin the last 20 years, especially in the field of medical care. the purpose of this study is to evaluate the prognosis ofhospitalized icu patients according to apache 2 scoring system in educational hospitals in ilam city during 2013.methods and materials: in order to perform this prospec...

INTRODUCTION Data regarding the functional status of patients after prolonged mechanical ventilation are scarce, and little is known about its clinical predictors. AIM To investigate whether the Acute Physiology and Chronic Health Evaluation (APACHE) II score on admission may predict performance in activities of daily living on discharge from a weaning center. MATERIAL AND METHODS All conse...

OBJECTIVES To study the MRI findings of the pancreatic duct in patients with acute pancreatitis. MATERIALS AND METHODS A total of 239 patients with acute pancreatitis and 125 controls were analyzed in this study. The severity of acute pancreatitis was graded using the MR severity index (MRSI) and the Acute Physiology And Chronic Healthy Evaluation II(APACHE II) scoring systems. The number of ...

BACKGROUND This study examines the efficacy of the predicting power for need for mechanical ventilation and duration of mechanical ventilation of three different scoring systems in a medical-surgical intensive care unit. METHODS One-hundred eighty critically ill patients were included prospectively in our study in a consecutive period of seven months. On the day of admission, data were collec...

Purpose Urosepsis implies clinically evident severe infection of urinary tract with features of systemic inflammatory response syndrome (SIRS). We validate the role of a single Acute Physiology and Chronic Health Evaluation II (APACHE II) score at 24 hours after admission in predicting mortality in urosepsis. Materials and Methods A prospective observational study was done in 178 patients adm...

BACKGROUND The Glasgow Coma Scale (GCS) is popular, simple, and reliable, and provides information about the level of consciousness in trauma patients. However, a systemic evaluation scale specially in patients with multiple trauma is so important. The revised Acute Physiology and Chronic Health Evaluation system type 2 (APACHE II) is a physiologically based system including physiological varia...

BACKGROUND Thyroid hormone dysfunction could affect outcome and increase mortality in critical illness. Therefore, in a prospective, observational study we analyzed and compared the prognostic accuracy of free tri-iodothyronine (fT3), free thyroxine (fT4), thyroid-stimulating hormone (TSH), along with the APACHE II and SOFA scoring systems in predicting intensive care unit (ICU) mortality in cr...