The Efficacy of Mew Score in Renal Transplant Recipients Referred to Emergency Department
The Efficacy of Mew Score in Renal Transplant Recipients Referred to Emergency Department
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DOI：
10.4328/jcam.1776
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发表时间：
2015-03-01
影响因子：
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通讯作者：
Turan, Mustafa
中科院分区：
文献类型：
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作者：
Kocabas, Egemen;Cildir, Ergun;Turan, Mustafa
目的：与慢性肾脏病生存率和生活质量的优势相关的最佳治疗选择是肾移植。在肾移植期间或之后，可能会发生一些并发症，这取决于技术原因。从长远来看，目前的免疫抑制治疗可能会导致各种感染和代谢紊乱。本研究旨在确定急诊科肾移植患者的危重情况，并探讨改良早期肾功能评分（MEW）在肾移植患者发病率和急性肾功能衰竭（ARF）中的作用。材料和方法：对172名在乌鲁达大学医学院急诊科就诊的肾移植受者进行了前瞻性研究。根据诊断、住院原因和是否存在ARF发作对MEW评分的患者进行评估，并研究MEW评分与ARF发作的关系。结果：22.8%（n：26）的应用与脓毒症相匹配，在这些患者中发现ARF有显著差异（p = 3，p = 0.001）。此外，在住院治疗方面，MEW评分>= 2的住院患者中观察到显著差异（p = 3），这些患者应立即由艾德医生进行评估。艾德医师应了解此类患者的具体诊断和治疗方法，并能判断病情危重程度，并保持知识更新。
Aim: The best treatment option in relation to the advantages in survival in chronic renal disease and in life quality is renal transplantation. During or after the renal transplantation some complications may occur depending on technical reasons. In long term, various infections and metabolic disorders can appear as a result of current immunosuppressive treatments. The present study was conducted in order to determine critical conditions in management of renal transplant cases in Emergency Department and to investigate the efficacy of MODIFIED EARLY WARNING (MEW) score in determining the morbidity and acute renal failure (ARF) in renal transplant cases. Material and Method: 172 renal transplant recipients presenting to Uludag University Medicine Faculty Emergency Department were investigated prospectively. The patients, whose MEW scores were calculated, were evaluated in terms of the diagnoses, hospitalisation reasons, and presence of (ARF) attack and the relationship with MEW score was investigated. Results: 22.8% (n:26) of applications matched with sepsis and significant difference was found out in those patients in terms of ARF (p= 3, p=0.001). Furthermore, in terms of hospitalization, significant difference was observed in admitted patients with MEW score >= 2 (p= 3 and these patients should be evaluated by ED physicians urgently. ED physicians should know specific diagnosis and treatment methods of those patients and could determine critical conditions and should keep their knowledge update.