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{| style="cellpadding=0; cellspacing= 0; width: 600px;"
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| style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align="center" |'''Variable'''|| style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align="center" |'''Score'''<ref name="pmid20453069">{{cite journal| author=Decousus H, Tapson VF, Bergmann JF, Chong BH, Froehlich JB, Kakkar AK et al.| title=Factors at admission associated with bleeding risk in medical patients: findings from the IMPROVE investigators. | journal=Chest | year= 2011 | volume= 139 | issue= 1 | pages= 69-79 | pmid=20453069 | doi=10.1378/chest.09-3081 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20453069  }}</ref>
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Active [[gastric ulcer|gastric]] or [[duodenal ulcer]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |4.5
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Prior [[bleeding]] within the last 3 months|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |4
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |[[Thrombocytopenia]] (<50x10<sup>9</sup>/L)|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |4
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Age ≥ 85 years|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |3.5
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |[[Liver failure]] ([[INR]]>1.5)|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2.5
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |[[Kidney failure|Severe kidney failure]] ([[GFR]]< 30 mL/min/m<sup>2</sup>)|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2.5
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Admission to [[ICU]] or [[CCU]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2.5
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |[[Central venous catheter]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Rheumatic disease|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Active [[malignancy]]|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |2
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Age: 40-84 years|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1.5
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |Male|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1
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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |[[Kidney failure|Moderate kidney failure]] ([[GFR]]: 30-59 mL/min/m<sup>2</sup>)|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align="left" |1
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==References==
==References==

Revision as of 04:18, 26 October 2018


Overview

Project1

Sepsis in Adult Patients

Diagnostic Criteria

  • SIRS
  • Sepsis
  • Severe Sepsis
  • Septic Shock
  • Causes

    Focused Initial Rapid Evaluation

    Empiric Antibiotic Therapy

    Dos

    Don'ts


    Risk Score


    Variable Score[1]
    Active gastric or duodenal ulcer 4.5
    Prior bleeding within the last 3 months 4
    Thrombocytopenia (<50x109/L) 4
    Age ≥ 85 years 3.5
    Liver failure (INR>1.5) 2.5
    Severe kidney failure (GFR< 30 mL/min/m2) 2.5
    Admission to ICU or CCU 2.5
    Central venous catheter 2
    Rheumatic disease 2
    Active malignancy 2
    Age: 40-84 years 1.5
    Male 1
    Moderate kidney failure (GFR: 30-59 mL/min/m2) 1
    Variable Score

    References

    1. Decousus H, Tapson VF, Bergmann JF, Chong BH, Froehlich JB, Kakkar AK; et al. (2011). "Factors at admission associated with bleeding risk in medical patients: findings from the IMPROVE investigators". Chest. 139 (1): 69–79. doi:10.1378/chest.09-3081. PMID 20453069.