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Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care

INTRODUCTION: Our study aimed to evaluate the performance of Quick Sepsis-related Organ Failure Assessment (qSOFA), Modified Early Warning Score (MEWS), National Early Warning Score (NEWS), Systemic Inflammatory Response Syndrome (SIRS), and Global Research in the Emphysematous Pyelonephritis group...

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Autores principales: Bibi, Mokhtar, Chaker, Kays, Ouanes, Yassine, Baccouch, Ramla, Madani, Mohamed Anouar, Mediouni, Houssem, Mosbahi, Boutheina, Mourad Dali, Kheireddine, Rahoui, Moez, Nouira, Yassine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10611593/
https://www.ncbi.nlm.nih.gov/pubmed/37556105
http://dx.doi.org/10.1007/s11255-023-03733-8
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author Bibi, Mokhtar
Chaker, Kays
Ouanes, Yassine
Baccouch, Ramla
Madani, Mohamed Anouar
Mediouni, Houssem
Mosbahi, Boutheina
Mourad Dali, Kheireddine
Rahoui, Moez
Nouira, Yassine
author_facet Bibi, Mokhtar
Chaker, Kays
Ouanes, Yassine
Baccouch, Ramla
Madani, Mohamed Anouar
Mediouni, Houssem
Mosbahi, Boutheina
Mourad Dali, Kheireddine
Rahoui, Moez
Nouira, Yassine
author_sort Bibi, Mokhtar
collection PubMed
description INTRODUCTION: Our study aimed to evaluate the performance of Quick Sepsis-related Organ Failure Assessment (qSOFA), Modified Early Warning Score (MEWS), National Early Warning Score (NEWS), Systemic Inflammatory Response Syndrome (SIRS), and Global Research in the Emphysematous Pyelonephritis group (GREMP) in predicting the need of admission in intensive care units (ICU) for emphysematous pyelonephritis (EPN) patient. PATIENTS AND METHODS: In this retrospective study, we reviewed 70 patients admitted to our department from January 2008 to October 2022. Data on clinical presentation and EPN management were noted. The five scoring systems were calculated by one investigator. Univariate and multivariate analyses were used to assess predictive factors of severe sepsis and mortality. Statistical analysis was made using SPSS version 22. RESULTS: Mean age was 61.83 years with 65.7% diabetes. As per Huang and Tseng classification, 41 patients had class I EPN, 7 had class II EPN, 8 had class IIIa, 6 class IIIB EPN, and 8 had class IV EPN. Seventeen patients (24.28%) were admitted to ICU with an 18.57 mortality rate. Univariate analysis showed that ICU admission was significantly associated with higher respiration rate and heart rate, lower systolic blood pressure, confusion, CRP, lactate and creatinine serum (p = 0.0001, p = 0.0001, p = 0.001, p = 0.007, p = 0.004, p = 0.001, p = 0.001, respectively). All five scores and Huang and Tseng classification were significantly predictive of admission to ICU. All five scores showed good results under the area curves to predict ICU entry with 0.915, 0.895, 0.968, 0.887, and 0.846 for qSOFA, MEWS score, NEWS score, SIRS, and GREMP score, respectively. CONCLUSION: NEWS score seemed to be the best performing physiologic score among the five scoring systems studied and may help with biological and radiological findings to quickly identify EPN patients that need intensive care unit.
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spelling pubmed-106115932023-10-29 Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care Bibi, Mokhtar Chaker, Kays Ouanes, Yassine Baccouch, Ramla Madani, Mohamed Anouar Mediouni, Houssem Mosbahi, Boutheina Mourad Dali, Kheireddine Rahoui, Moez Nouira, Yassine Int Urol Nephrol Urology - Original Paper INTRODUCTION: Our study aimed to evaluate the performance of Quick Sepsis-related Organ Failure Assessment (qSOFA), Modified Early Warning Score (MEWS), National Early Warning Score (NEWS), Systemic Inflammatory Response Syndrome (SIRS), and Global Research in the Emphysematous Pyelonephritis group (GREMP) in predicting the need of admission in intensive care units (ICU) for emphysematous pyelonephritis (EPN) patient. PATIENTS AND METHODS: In this retrospective study, we reviewed 70 patients admitted to our department from January 2008 to October 2022. Data on clinical presentation and EPN management were noted. The five scoring systems were calculated by one investigator. Univariate and multivariate analyses were used to assess predictive factors of severe sepsis and mortality. Statistical analysis was made using SPSS version 22. RESULTS: Mean age was 61.83 years with 65.7% diabetes. As per Huang and Tseng classification, 41 patients had class I EPN, 7 had class II EPN, 8 had class IIIa, 6 class IIIB EPN, and 8 had class IV EPN. Seventeen patients (24.28%) were admitted to ICU with an 18.57 mortality rate. Univariate analysis showed that ICU admission was significantly associated with higher respiration rate and heart rate, lower systolic blood pressure, confusion, CRP, lactate and creatinine serum (p = 0.0001, p = 0.0001, p = 0.001, p = 0.007, p = 0.004, p = 0.001, p = 0.001, respectively). All five scores and Huang and Tseng classification were significantly predictive of admission to ICU. All five scores showed good results under the area curves to predict ICU entry with 0.915, 0.895, 0.968, 0.887, and 0.846 for qSOFA, MEWS score, NEWS score, SIRS, and GREMP score, respectively. CONCLUSION: NEWS score seemed to be the best performing physiologic score among the five scoring systems studied and may help with biological and radiological findings to quickly identify EPN patients that need intensive care unit. Springer Netherlands 2023-08-09 2023 /pmc/articles/PMC10611593/ /pubmed/37556105 http://dx.doi.org/10.1007/s11255-023-03733-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Urology - Original Paper
Bibi, Mokhtar
Chaker, Kays
Ouanes, Yassine
Baccouch, Ramla
Madani, Mohamed Anouar
Mediouni, Houssem
Mosbahi, Boutheina
Mourad Dali, Kheireddine
Rahoui, Moez
Nouira, Yassine
Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care
title Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care
title_full Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care
title_fullStr Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care
title_full_unstemmed Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care
title_short Comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care
title_sort comparison of prognosis of five scoring systems in emphysematous pyelonephritis patients requiring intensive care
topic Urology - Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10611593/
https://www.ncbi.nlm.nih.gov/pubmed/37556105
http://dx.doi.org/10.1007/s11255-023-03733-8
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