OBJECTIVES Mortality prediction scores have been used for a long time in ICUs; however, numerous studies have shown that they over-predict mortality in the obstetric population. With sepsis remaining a major cause of obstetric mortality, we aimed to look at five mortality prediction scores (one obstetric-based and four general) in the septic obstetric population and compare them to a nonobstetr...

a 73-year-old woman who had undergone coronary artery bypass grafting for coronary artery stenosis six years ago, presented with right lower extremity claudication. angiography revealed right external artery stenosis. elective external iliac ptca was performed complicated with simultaneous external iliac artery and vein rupture that was an exceedingly rare event. retroperitoneal laparotomy with...

OBJECTIVE To describe prognostic factors, clinical course, and hospital outcome of patients with chronic obstructive pulmonary disease admitted to an intensive care unit for acute respiratory failure. DESIGN Analysis of prospectively collected data. SETTING A multidisciplinary intensive care unit of an inner-city university hospital. PATIENTS Patients with chronic obstructive pulmonary di...

liver failure, in an acute or chronic form, is a growing health problem ranking as one of the leading causes of death worldwide. inborn errors of metabolism characterized by defects in hepatic enzymes or other proteins with metabolic functions, such as receptors or transporters accompanied with environmental factors involve etiology and presentation of liver failure. currently, the only establi...

Purpose: Acute pancreatitis is a systemic disease, and is usually closely associated with organ failures. This study was to investigate the pattern of organ failure in the course of acute pancreatitis. Recent Findings: A total of 783 severe acute pancreatitis (SAP) and moderately severe acute pancreatitis (MSAP) patients who were sequentially treated in Department of Surgery, Ruijin Hospital fr...

OBJECTIVES Acute-on-chronic liver failure is associated with numerous consecutive organ failures and a high short-term mortality rate. Molecular adsorbent recirculating system therapy has demonstrated beneficial effects on the distinct symptoms, but the associated mortality data remain controversial. DESIGN Retrospective analysis of acute-on-chronic liver failure patients receiving either sta...

introduction: fat embolism is a rare but serious consequence of fracture which is also potentially fatal.  it is caused by the occlusion of blood vessels by fat globules in the brain and lungs, causing bleeding into the alveoli and the disruption of oxygen transfer. clinical manifestations are: respiratory failure, loss of consciousness, fever, tachycardia and petchiae, all following the fractu...

Soluble TLR2 levels are elevated in infective and inflammatory conditions, but its diagnostic value with sepsis-induced multi-organ failure has not been evaluated. 37 patients with a diagnosis of severe sepsis/septic shock (sepsis) and 27 patients with organ failure without infection (SIRS) were studied. Median (IQR) plasma sTLR2 levels were 2.7 ng/ml (1.4-6.1) in sepsis and 0.6 ng/ml (0.4-0.9)...