Proposal for a recovery prediction method for patients affected by acute mediastinitis.

World Journal of Emergency Surgery : WJES
Sławomir Jabłoński, Marcin Kozakiewicz

Abstract

An attempt to find a prediction method of death risk in patients affected by acute mediastinitis. There is not such a tool described in available literature for that serious disease. The study comprised 44 consecutive cases of acute mediastinitis. General anamnesis and biochemical data were included. Factor analysis was used to extract the risk characteristic for the patients. The most valuable results were obtained for 8 parameters which were selected for further statistical analysis (all collected during few hours after admission). Three factors reached Eigenvalue >1. Clinical explanations of these combined statistical factors are: Factor1 - proteinic status (serum total protein, albumin, and hemoglobin level), Factor2 - inflammatory status (white blood cells, CRP, procalcitonin), and Factor3 - general risk (age, number of coexisting diseases). Threshold values of prediction factors were estimated by means of statistical analysis (factor analysis, Statgraphics Centurion XVI). The final prediction result for the patients is constructed as simultaneous evaluation of all factor scores. High probability of death should be predicted if factor 1 value decreases with simultaneous increase of factors 2 and 3. The diagnostic power of ...Continue Reading

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Citations

Apr 27, 2013·Inflammation·Sławomir Jabłoński, Marcin Kozakiewicz
Sep 20, 2012·ANZ Journal of Surgery·Sławomir JabłońskiMarcin Kozakiewicz

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