Elevated lactate has been found to be associated with a higher mortality in diverse patient population. The aim of the study is investigate if initial serum level independently hospital for critically ill patients presenting Emergency Department.Single-center, retrospective at tertiary care looking who presented Department (ED) between 2014 and 2016. A total 450 were included study. Patients stratified levels: <2 mmol/L, 2-4 mmol/L >4 mmol/L. primary outcome was in-hospital mortality....

Background: The aim of this study is to evaluate the prognostic value Lactate Albumin (L/A) ratio compared that lactate only in predicting morbidity and mortality sepsis patients. Methods: This was a single-center retrospective cohort study. All adult patients above age 18 with diagnosis who presented between January 1, 2014 June 30, 2019 were included. primary outcome in-hospital mortality. Results: A total 1,381 included, 44% female. Overall 58.4% mortalities septic shock being 45.8 67%,...

Most sepsis studies have looked at the general population. The aim of this study is to report on characteristics, treatment and hospital mortality patients with cancer diagnosed or septic shock.A single-centre retrospective a tertiary care centre looking who presented our sepsis, shock bacteraemia between 2010 2015.176 were compared 176 cancer-free controls.The primary outcome was in both cohorts. Secondary outcomes included patient demographics, emergency department (ED) vital signs...

Objectives Lactate/albumin (L/A) ratio is a biomarker in sepsis that has been shown to outperform lactate. This prospective study aims validate the superior prognostic value of L/A lactate and septic shock.Methods Prospective cohort conducted from September 2018 till February 2021 on adult patients presenting Emergency Department (ED) at tertiary care centre with or shock. The primary outcome was compared regards mortality.Results A total 939 were included throughout period. 236 developed...

Lactate has long been recognized as a key prognostic biomarker in sepsis. Similarly, the role of neutrophil-to-lymphocyte ratio (NLR) investigated various conditions, including Previous studies have explored optimal NLR cutoff to differentiate sepsis survivors from nonsurvivors, predict bacteremia, diagnose sepsis, and assess mortality. This study compares value lactate septic patients. prospective cohort included 874 adult or shock patients presenting tertiary care center's Emergency...

Bacterial infections are very common in End Stage Renal Disease (ESRD) patients. The diagnosis of sepsis such patients is often challenging and requires a high index suspicion. aim this study to report on series patient with ESRD hemodialysis (HD) diagnosed sepsis.Single center retrospective looking at HD who presented our tertiary hospital were retrieved. Inclusion criteria included discharge sepsis, septic shock or bacteremia.Our sample was composed 41 females 49 males, mean age 70 ± 15...

The aim of this study was to check if serum lactate independently associated with mortality among critically ill patients.This a single-center, retrospective cohort study. All adult patients (>18 years age) who had at least 1 measurement within 24 hours admission intensive care unit (ICU) between January 2002 and December 2017 were included in the analysis. Patients stratified into 3 groups: those <2 mmol/L (normal level), 2 4 (intermediate >4 (high level). primary outcome in-hospital...

Objectives This study aims to examine the outcome of haematological and patients with solid cancer presenting sepsis emergency department (ED). Design Single-centred, retrospective cohort study. Setting conducted at an academic a tertiary hospital. Participants All &gt;18 years age admitted were included. Interventions Patients stratified into two groups: malignancy. Primary secondary The primary was in-hospital mortality. Secondary outcomes included intensive care unit (ICU) mortality, ICU...

Patients who leave the emergency department against medical advice are at high risk for complications. Against (AMA) discharges also considered high-risk events potentially leading to malpractice litigation.Our aim was characterize patients AMA in a payment prior service (ED) model and identify predictors return visits ED after leaving AMA.We conducted retrospective review study of charts were discharged between January 1, 2012 2013 tertiary care center Beirut Lebanon. We carried out...

Emergency Department (ED) visits for suicide attempts have been described worldwide; however, the populations studied were predominantly Western European, North American, or East Asian. This study aims to describe epidemiology of ED patients presenting post-suicide attempt an academic medical center in Lebanon and report on factors that affect disposition.A retrospective cohort was conducted between 2009 2015. Patients any age group included if they had presented after a attempt. with...

Objectives Patients with congestive heart failure (CHF) may be at a higher risk of mortality from sepsis than patients without CHF due to insufficient cardiovascular reserves during systemic infections. The aim this study is compare sepsis-related between and no in presenting tertiary medical centre. Design A single-centre, retrospective, cohort study. Setting Conducted an academic emergency department (ED) January 2010 2015. Patients’ charts were queried via the hospital’s electronic...

The Neutrophil to lymphocyte ratio (NLR) was shown be associated with disease severity, poor prognosis and increased mortality in sepsis. However, the association between NLR sepsis remains controversial. Our study aims prospectively examine prognostic ability of predicting in-hospital among patients determine optimal cutoff that can most accurately predict patients. This a prospective cohort included adult presented emergency department tertiary care center September 2018 February 2021....

Abstract Background Most studies on sepsis were conducted in developed countries. The aim of this study is to report a series patients with tertiary hospital developing country. Methods Patients admitted through the emergency department single university-based institution between January 2008 and June 2012, final diagnosis sepsis, bacteremia, or septic shock, retrieved. A sample 97 was selected. Vital signs at presentation, number SIRS criteria, use vasopressors steroids, in-hospital...

This study aims to examine the outcome of end-stage renal disease (ESRD) patients admitted with sepsis intensive care unit (ICU).Single centre, retrospective cohort study.The was conducted in Intensive Care Department King Abdulaziz Medical City, Riyadh, Saudi Arabia.Data were extracted from a prospectively collected ICU database 2002 2017. Patients considered have based on sepsis-3 definition and stratified into 2 groups presence or absence ESRD.The primary in-hospital mortality. Secondary...

We report a case of patient presenting to the emergency department in cardiac arrest following liposuction procedure, which was performed physician office using lidocaine anesthesia. During thighs, power-assisted technique, given subcutaneous dose equal 71 mg/kg without any noticeable intraoperative complication. Two hours later, experienced dizziness, rapid decline mental status, tonic-clonic seizure, and arrest. The successfully resuscitated with return spontaneous circulation after 22...

Macrocytosis is a relatively common finding in adult patients undergoing blood cell counting. Approximately 10% of will have unexplained macrocytosis after laboratory evaluation. Data on the approach to with are limited.To investigate this topic and help delineate an condition, records 9779 diagnosed our institution between 1995 2005 as having were reviewed. Patients evidence liver disease, alcohol abuse, hypothyroidism, folate or vitamin B12 deficiency, hemolysis, use any drugs known cause...