1.Is APACHE Scoring Index Available as Preoperative Assessment in Geriatric Patients?.
Soo Jin PARK ; Seong Jin BAE ; Hye Jeong LEE
Korean Journal of Anesthesiology 1997;32(4):525-532
BACKGROUND: One of the factors that affect the anesthetic risk is preoperative status especially in geriatric patients. So we studied about followings; 1) Can we use APACHE scoring index when we assess the physical status of geriatric patients preoperatively? 2) Is it meaningful in saying the risk of anesthesia? 3) Which one is more significant in predicting the morbidity and mortality: acute physiologic status vs chronic health status? METHOD: Preoperative status of the geriatric patients (above 65 years old), who were received operation from June 1994 to March 1996 at Hanil General Hospital, were assessed by APACHE scoring index and ASA classification. Age, sex, type of operation, emergency or elective, method of anesthesia, duration of procedure, APACHE scoring index, ASA classification, perioperative complication, postoperative complication is coded by grading or type. RESULT: Perioperative complication was showed statistically significant with acute physiologic score (APS) and duration of procedure. Postoperative complication was showed statistically significant with APACHE score or ASA class. Total complication was affected by duration of procedure and APS score. There was also correlation between ASA class and total complication. Among 265 cases, 1 case expired during operation and 7 cases expired after operation. Causes of postoperative death were pneumonia, hemorrhagic shock etc. CONCLUSION: In geriatric patients, 1) APACHE scoring index is available for preoperative assessment. 2) APACHE scoring index is meaningful in predicting the risk of anesthesia. 3) Perioperative complication was more correlated with acute physiologic status than chronic health evaluation.
Anesthesia
;
APACHE*
;
Classification
;
Emergencies
;
Hospitals, General
;
Humans
;
Mortality
;
Pneumonia
;
Postoperative Complications
;
Shock, Hemorrhagic
2.Signal Hyperintensities on Brain Magnetic Resonance Imaging in Late-life Depressive Patients.
Sung Hoon JIN ; Seong Hye HWANG ; Chang Hyun KIM
Journal of Korean Geriatric Psychiatry 1998;2(2):160-166
OBJECTIVES: This study was performed to investigate the relationship between age of onset in late-life depression and T2 hyperintensities observed in the brain MRI, we tried to see part of pathophysiology of late-life depression. METHOD: The subjects consisted of 18 patients whose first depressive episode occurred before age 50, and 20 patients whose first depressive episode occurred after age 50 years, and 20 agematched controls. Depressive patients were diagnosed according to DSM-IV. Established hyperintensity rating systems were used to analyse the T2 weighted images and blood pressure, cholesterol level, DM, EKG were measured to compare the relationships. RESULTS: 1) Signal hyperintensities on T2 weighted image were more severe in late-life depressive patients whose first depressive episode after age 50 (p<0.05) and there is no significant difference between patients whose first episode before age 50 and age-matched control subjects. 2) Mild signal hyperintensities were observed in all elderly depressed patients and control subjects, but severe hyperintensities were observed in late-onset depression. 3) Signal hyperintensities were related to age, hypertension, blood cholesterol level (p<0.05). CONCLUSION: The late onset depressive patients had more white matter hyperintensities on T2 weighted image than early onset depressive patients. this results support previous hypothesis that white matter change is the important biological factor of late-onset elderly depression and old age, hypertension, hypercholesterolemia may be associated with signal hyperintensities.
Age of Onset
;
Aged
;
Biological Factors
;
Blood Pressure
;
Brain*
;
Cholesterol
;
Depression
;
Diagnostic and Statistical Manual of Mental Disorders
;
Electrocardiography
;
Humans
;
Hypercholesterolemia
;
Hypertension
;
Magnetic Resonance Imaging*
3.Congenital Anonychia of the Toes with Absence of Underlying Phalangeal Bones.
Seong Jin KIM ; Mi Hye LIM ; Seung Chul LEE ; Young Ho WON ; Inn Ki CHUN
Annals of Dermatology 1997;9(3):188-190
Congenital absence of nails usually occur as a rare isolated anomaly or combined with other ectodermal defects. This anomaly is regarded as an inherited disorder either dominantly or recessively but quite a few cases were reported as sporadically developed. The patient was a 2-month-old girl who had no nails on both her 2nd, 3rd toes but had rudimentary nails on her left big toe and both 4th toes at birth. We could not find any other congenital deformity, any family history of inherited diseases related to anonychia. Radiological findings revealed no visualization of both 4th distal phalanges, only. We report this case as congenital anonychia of a sporadic type which may have developed independently from an underlying bone abnormality. We also review other reported cases in the literature.
Congenital Abnormalities
;
Ectoderm
;
Female
;
Hallux
;
Humans
;
Infant
;
Parturition
;
Toes*
4.A case of VATER syndrome.
Seong Jin HA ; Ki Hyun CHUNG ; Oh Kyung LEE ; Wan Seob KIM ; Kyung Hye LEE
Journal of the Korean Pediatric Society 1993;36(4):583-588
The VATER syndrome is a group of congenital anomalies with a nonrandom tendency for concurrence. Defects include vertebral, anorectal malformation, tracheoesophageal fisutla with esophageal atresia, radial-limb, vascular, and renal abnormalities. The critical period of organogenesis is at or before the sixth or seventh week of gestation. We experienced one case of VATER syndrome in a 1 day old male neonate having vertebral anomalies, esophageal atresia with tracheoesophageal fistula to the distal esophageal segment, imperforated anus, left renal dysplasia with hydronephrosis of the right kidney and both hydroureter, patent ductus arteriosus. We report a case of VATER syndrome with brief review of related literature.
Anal Canal
;
Critical Period (Psychology)
;
Ductus Arteriosus, Patent
;
Esophageal Atresia
;
Humans
;
Hydronephrosis
;
Infant, Newborn
;
Kidney
;
Male
;
Organogenesis
;
Pregnancy
;
Tracheoesophageal Fistula
5.Management behaviors for DM in a rural area.
Kyung Hee YEI ; Hye Sook KIM ; Hyung Do MOON ; Nak Jin SEONG ; Ki Heum PARK
Journal of the Korean Academy of Family Medicine 1993;14(11):743-751
No abstract available.
7.Analysis of Nursing Interventions for Severe Occupational Accident Trauma Patients Based on Major Injury Site
Korean Journal of Occupational Health Nursing 2024;33(4):173-182
Purpose:
This study analyzed nursing interventions for patients with severe industrial accident trauma who visited the trauma resuscitation department of a regional trauma center using the Nursing Intervention Classification (NIC) system.
Methods:
Among the 15,721 patients who visited the regional trauma center at U University Hospital in U City from January 1, 2021 to December 31, 2022, the electronic medical records of 114 patients with severe industrial accident trauma who met the inclusion criteria were reviewed. Nursing interventions were analyzed and classified using the NIC system based on the patients` main injury site.
Results:
A total of 3,247 nursing interventions(classified into five areas, 17 groups, and 69 interventions) were performed according to the main injury site. The most frequently performed nursing interventions were physiological: complex. Next, safety, physiological: basic, behavioral, and health system interventions were conducted, in that order.
Conclusion
This study identified the main characteristics and nursing interventions for patients with severe occupational accident trauma. These findings may contribute to the enhancement of standardized nursing interventions and the overall quality of nursing care.
8.Analysis of Nursing Interventions for Severe Occupational Accident Trauma Patients Based on Major Injury Site
Korean Journal of Occupational Health Nursing 2024;33(4):173-182
Purpose:
This study analyzed nursing interventions for patients with severe industrial accident trauma who visited the trauma resuscitation department of a regional trauma center using the Nursing Intervention Classification (NIC) system.
Methods:
Among the 15,721 patients who visited the regional trauma center at U University Hospital in U City from January 1, 2021 to December 31, 2022, the electronic medical records of 114 patients with severe industrial accident trauma who met the inclusion criteria were reviewed. Nursing interventions were analyzed and classified using the NIC system based on the patients` main injury site.
Results:
A total of 3,247 nursing interventions(classified into five areas, 17 groups, and 69 interventions) were performed according to the main injury site. The most frequently performed nursing interventions were physiological: complex. Next, safety, physiological: basic, behavioral, and health system interventions were conducted, in that order.
Conclusion
This study identified the main characteristics and nursing interventions for patients with severe occupational accident trauma. These findings may contribute to the enhancement of standardized nursing interventions and the overall quality of nursing care.
9.Analysis of Nursing Interventions for Severe Occupational Accident Trauma Patients Based on Major Injury Site
Korean Journal of Occupational Health Nursing 2024;33(4):173-182
Purpose:
This study analyzed nursing interventions for patients with severe industrial accident trauma who visited the trauma resuscitation department of a regional trauma center using the Nursing Intervention Classification (NIC) system.
Methods:
Among the 15,721 patients who visited the regional trauma center at U University Hospital in U City from January 1, 2021 to December 31, 2022, the electronic medical records of 114 patients with severe industrial accident trauma who met the inclusion criteria were reviewed. Nursing interventions were analyzed and classified using the NIC system based on the patients` main injury site.
Results:
A total of 3,247 nursing interventions(classified into five areas, 17 groups, and 69 interventions) were performed according to the main injury site. The most frequently performed nursing interventions were physiological: complex. Next, safety, physiological: basic, behavioral, and health system interventions were conducted, in that order.
Conclusion
This study identified the main characteristics and nursing interventions for patients with severe occupational accident trauma. These findings may contribute to the enhancement of standardized nursing interventions and the overall quality of nursing care.
10.Analysis of Nursing Interventions for Severe Occupational Accident Trauma Patients Based on Major Injury Site
Korean Journal of Occupational Health Nursing 2024;33(4):173-182
Purpose:
This study analyzed nursing interventions for patients with severe industrial accident trauma who visited the trauma resuscitation department of a regional trauma center using the Nursing Intervention Classification (NIC) system.
Methods:
Among the 15,721 patients who visited the regional trauma center at U University Hospital in U City from January 1, 2021 to December 31, 2022, the electronic medical records of 114 patients with severe industrial accident trauma who met the inclusion criteria were reviewed. Nursing interventions were analyzed and classified using the NIC system based on the patients` main injury site.
Results:
A total of 3,247 nursing interventions(classified into five areas, 17 groups, and 69 interventions) were performed according to the main injury site. The most frequently performed nursing interventions were physiological: complex. Next, safety, physiological: basic, behavioral, and health system interventions were conducted, in that order.
Conclusion
This study identified the main characteristics and nursing interventions for patients with severe occupational accident trauma. These findings may contribute to the enhancement of standardized nursing interventions and the overall quality of nursing care.