Gastrointestinal Bleeding, Liver Cirrhosis
Conditions
Keywords
cirrhosis, gastrointestinal bleeding, physical indicator, shock index
Brief summary
Can physiological indicators such as quick Sequential Organ Failure Assessment , Shock Index, and its derived indicators such as Modified Shock Index , Age Shock Index and Respiratory Adjusted Shock Index accurately predict the prognosis of cirrhosis patients with gastrointestinal bleeding? To explore the improvement of emergency and critical care patient management.
Detailed description
Cirrhosis is a common chronic liver disease with gastrointestinal bleeding being one of its complications. Gastrointestinal bleeding is quite common in patients with cirrhosis, but its prognosis is difficult to accurately predict. In current clinical practice, critical care physicians often use physiological indicators to assess the risk level of patients. Among them, the Shock Index and its derived indicators such as the Modified Shock Index, Age Shock Index, and Respiratory Adjusted Shock Index have been widely used in other fields, but their actual value in patients with cirrhosis complicated by gastrointestinal bleeding is not yet clear. The prognosis of cirrhosis patients with gastrointestinal bleeding affects the quality of life and survival of the patients, thus necessitating the establishment of a reliable prognostic assessment tool to assist critical care physicians in making rapid treatment decisions. The motivation of this study is to explore the application value of Shock Index-related indicators in predicting the prognosis of cirrhosis patients with gastrointestinal bleeding, in order to improve the medical efficiency for this specific group of critically ill patients.
Interventions
OTHERphysical indicators such as shock index relatives
shock index relatives indicators used in the prediction of cirrhosis with gastrointestinal bleeding
Sponsors
St. Martin De Porress Hospital
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
cirrhosis with gastrointestinal bleeding -
Exclusion criteria
no complete medical record and trauma patient \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| shock index= heart rate / systolic blood pressure normal range:0.5-0.7 Modified shock index = heart rate/mean arterial pressure(MAP) age shock index = SI x age number respiratory adjusted shock index(RASI) = HR/SBP × RR/10. MAP = DP + 1/3(SP - DP) | through study completion, an average of 6 months | find the shock index relatives indicators in the prognosis prediction of cirrhosis with gastrointestinal bleeding |
Countries
Taiwan
Contacts
CONTACTChia-Hsi Chen, Physician
CONTACTChung-Jing Wang, professor
STUDY_DIRECTORYeong-Chin Jou Jou, professor
St. Martin De Porres Hospital Education and Research
Outcome results
None listed