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Simplified scoring system for prediction of mortality in acute suppurative cholangitis
Author(s) -
Yıldız Barış Doğu,
Özden Sabri,
Saylam Barış,
Martlı Fahri,
Tez Mesut
Publication year - 2018
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/j.kjms.2017.12.016
Subject(s) - medicine , intensive care unit , red blood cell distribution width , multivariate analysis , wasting , psychological intervention , multivariate statistics , scoring system , bilirubin , retrospective cohort study , emergency medicine , intensive care medicine , statistics , mathematics , psychiatry
Our objective in this study was to identify the factors contributing to mortality in acute suppurative cholangitis which could be tested easily in every emergency clinic. This is a retrospective study enrolling 104 patients with acute suppurative cholangitis. Demographic and laboratory data were collected for analysis. In univariant analysis red cell distribution width, total bilirubin level, intensive care unit admission was identified as statistically significant (p < 0.05) to predict mortality. Three variables were statistically significant in multivariate analysis: total bilirubin level equal to or more than 6.9 mg/dl, red cell distribution width equal to or more than 14.45%, and admission to intensive care unit. We found a new scoring system for prediction of mortality in acute suppurative cholangitis utilizing only three variables. This would serve as a simplified, rapid way to direct patients for advanced interventions instead of wasting time with more complicated and time consuming multi‐variable scoring systems.

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