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| ID | Type | Description | Link |
|---|---|---|---|
| physical parameters | Registry Identifier | physical parameters |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cirrhosis | cirrhosis with gastrointestinal bleeding |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| physical indicators such as shock index relatives | Other | shock index relatives indicators used in the prediction of cirrhosis with gastrointestinal bleeding |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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) | find the shock index relatives indicators in the prognosis prediction of cirrhosis with gastrointestinal bleeding | through study completion, an average of 6 months |
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Inclusion Criteria: cirrhosis with gastrointestinal bleeding -
Exclusion Criteria: no complete medical record and trauma patient
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cirrhosis with gastrointestinal bleeding
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chia-Hsi Chen, Physician | Contact | 886-5-2756000 | 3708 | urologist3509@gmail.com |
| Chung-Jing Wang, professor | Contact | 886-5-2756000 | 3708 | medicine@stm.org.tw |
| Name | Affiliation | Role |
|---|---|---|
| Yeong-Chin Jou Jou, professor | St. Martin De Porres Hospital Education and Research | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Martin De Porres Hospital | Recruiting | Tainan | 60069 | Taiwan |
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| ID | Type | URL | Comment |
|---|---|---|---|
| Individual Participant Data Set | View IPD |
This study include the medical privacy of cirrhosis.
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| ID | Term |
|---|---|
| D008103 | Liver Cirrhosis |
| D006471 | Gastrointestinal Hemorrhage |
| D005355 | Fibrosis |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Physical indicators with shock index relatives are used in the prediction of prognosis on cirrhosis with gastrointestinal bleeding |
| D005767 | Gastrointestinal Diseases |
| D006470 | Hemorrhage |