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J Korean Soc Emerg Med > Volume 28(5); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(5): 422-430.
응급의료센터를 방문한 급성담낭염 환자에서 나이쇼크인덱스를 이용한 중증도 예측의 유용성
조진행, 이종석, 정기영, 최한성, 홍훈표, 고영관
경희대학교병원 응급의학과
Usefulness of Age Shock Index in Predicting the Severity of Acute Cholecystitis in Emergency Department Patients
Jin Haeng Cho, Jong Seok Lee, Ki Young Jeong, Han Sung Choi, Hoon Pyo Hong, Young Gwan Ko
Department of Emergency Medicine, Kyung Hee University Hospital, Seoul, Korea
Correspondence  Jong Seok Lee ,Tel: 02-958-1637, Fax: 02-958-9689, Email: seok918@hanmail.net,
Received: June 23, 2017; Revised: June 26, 2017   Accepted: August 3, 2017.  Published online: October 31, 2017.
ABSTRACT
Purpose:
This study examined the availability of the age shock index in an assessment of high risk patients with acute cholecystitis in an emergency department.
Method:
Consecutive data of patients who presented to the emergency department with acute cholecystitis during the period, January 2012 and March 2017, were reviewed retrospectively. Univariate and multivariate analyses were performed to determine the relationship between the severity of acute cholecystitis and the clinical factors.
Results:
A total of 242 patients with acute cholecystitis were included in this study. From univariate analyses, age, Murphy’s sign, symptom duration, heart rate, respiratory rate, age shock index, hypertension, diabetes, leukocytes, C-reactive protein and blood urea nitrogen were found to be related to the severity of acute cholecystitis. From multivariate analysis, the symptom duration (OR, 4.271; 95% CI, 2.672-6.827), respiratory rate (OR, 1.482; 95% CI, 1.189-1.847), age shock index (OR, 1.609; 95% CI, 1.060-2.442, 10-point interval), leukocytes (OR, 1.283; 95% CI, 1.156-1.424), and diabetes (OR, 4.590; 95% CI, 1.507-13.976) had a positive relationship with the severity of acute cholecystitis.
Conclusion:
The age shock index, which is calculated easily using the patient’s age, heart rate, and systolic blood pressure, can be a predicting factor of severe acute cholecystitis in an emergency department.
Key words: Cholecystitis, Acute, Diagnosis, Risk assessment
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