Thang điểm glasgow trong phân loại nhanh bệnh nhân xơ gan

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Tác giả: Thị Lợi Bùi, Ngọc ánh Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 610 Medicine and health

Thông tin xuất bản: Y học việt nam, 2014

Mô tả vật lý: 57-61

Bộ sưu tập: Metadata

ID: 484766

 The Glasgow Alcoholic Hepatitis Score (GAHS) was proposed as an accurate measure of prognosis and also as a guide to therapeutic intervention. But in Vietnam, this simple score is not use routine as dempendant predictors of severity and prognosis in cirrhosis. Objective: the authors aimed to evaluate Glasgow score in cirrhosis patients in Bach Mai hospital. Method A total 168 subject with cirrhosis were recruited from 12/2012 to 7/2013 and were followed up for 7 days and 30 days to determine outcome (death or survival) at the end of this period. The CP as well as the Glasgow score of each patient was calculated within the 24 first hours of their admission. Result: Glasgow score was 8.28 + or - 1.05:The meand admission Glasgow score for the patient who die (9,37
  9,21) was significantly different from those patients surviving beyond 7 days and 30 days (8,05
  7,95). The cut-off of Glasgow score predicting 7 days and 30 days mortality was 8,8
  9,05 (AUROC: 0,794
  0,829). Complication of cirrhosis and Glasgow were associated with an independent prognostic value. the study identified a significative correlation between CP and Glasgow score with r = 0,755. Conclusion: the Glasgow score, as an objective scale of disease severity in patients with cirrhosis, shows promis as being a useful predictor of mortality risk.
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