ЭМНЭЛЗҮЙН УРЬДЧИЛАН ТООЦООЛОХ ДҮРМЭЭР НОЙР БУЛЧИРХАЙН ЦОЧМОГ ҮРЭВСЭЛТЭЙ ЭМЧЛҮҮЛЭГЧИЙН ТАВИЛАНГ ТОДОРХОЙЛОХ БОЛОМЖ
- Author:
Dariimaa G
1
;
Otgonjargal B
1
;
Oyundari B
2
;
Maral-Erdene D
2
;
Tserennadmid Ts
2
;
Davaadulam E
2
Author Information
1. School of Bio-Medicine of MNUMS
2. School of Law, NUM
- Publication Type:Journal Article
- From:Innovation
2017;11(2):127-130
- CountryMongolia
- Language:Bislama
-
Abstract:
Нойр булчирхайн цочмог үрэвсэл, эмнэлзүйн урьдчилан тооцоолох дүрэм, Ranson –ийн шалгуур, APACHE II-ийн шалгуур:A clinical prediction rule is a type of medical research study in which researchers try to
identify the best combination of medical sign, symptoms, and other findings in predicting
the probability of a specific disease or outcome. More than 80% of all patients with
acute pancreatitis recover promptly without developing severe pancreatitis. The presence
of early organ failure (within 24 hours of admission), multiple-organ system failure,
and persistent or progressive (present beyond 48 hours after admission) organ failure are
associated with prolonged hospitalization, ICU admission, need for surgery, and death.
In high developed country, Ranson and APACHE II prognostic criteria are used in order
to evaluate patient´s situation and modified treatment tactics. That is give an idea us
to carry out retrospective study, by using patients´ documents, who hospitalized in National
central hospital in last year. As result, according to Ranson´s criteria 13 (31.7%) of
all patients had 0-2 score, which means mortality risk was 1.8%, 20 (48.8%) had 3-4 score
(mortality risk is 11%), 8 (19.5%) were estimated 5-6 score, having 33% of mortality risk.
Whereas, regarding to APACHE-II criteria 14 (34.2%) of total patients had score of 0-4,
showing 4% of mortality risk, 23 (56.1%) were scored 5-9, having 8% of risk, 3 (7.3%) were
scored 10-14, having 15% of risk, 1 (2.4%) had 15-19 score, having 24% of risk. Moreover,
we determined that incomplete laboratory test, meaning essential prognostic criteria
not used in Mongolia.
