-
Successful Transplantation of Organs from a Donor with Bacterial Meningitis Caused by Streptococcus pneumonia: A Case Report
-
Eunjung Park, Sang Cheon Choi, Youngjoo Lee, Yoonseok Jung, Younggi Min
-
Korean J Crit Care Med. 2013;28(2):115-118.
-
DOI: https://doi.org/10.4266/kjccm.2013.28.2.115
-
-
 Abstract
 PDF
- The number of organs transplanted worldwide is increasing annually. As a result, there is a shortage of available donor organs. This scarcity has led to the progressive broadening of donor organ criteria. The expanded criteria include infections such as bacterial meningitis. A 55-year old male visited our emergency room with cardiac arrest and recovered after cardiopulmonary resuscitation. The cause of the cardiac arrest was bacterial meningitis caused by Streptococcus pneumoniae. While proper antibiotics were applied, the patient met the clinical criteria for brain death. Prophylactic antibiotics were administered to the recipients, and liver and kidney transplantations were done successfully.
-
Prediction of Mortality in Patients with Acute Paraquat Intoxication Using Simplified Acute Physiology Score II
-
Young yeol You, Younggi Min, Junghwan Ahn, Sang Cheon Choi, Yeonho Shin, Yoonseok Jung, Eunjung Park
-
Korean J Crit Care Med. 2011;26(4):221-225.
-
DOI: https://doi.org/10.4266/kjccm.2011.26.4.221
-
-
Abstract
PDF
- BACKGROUND
The prognosis of paraquat intoxication patients is poor and this makes the prediction of mortality important in administering aggressive treatment and admission. This article investigates the usefulness of simplified acute physiology score II (SAPS II), as a predictor of the mortality in paraquat intoxication.
METHODS
We retrospectively reviewed 65 patients who were admitted in one hospital between January in 2005 and December in 2010. We calculated their SAPS II, serum paraquat level, and severity index of paraquat poisoning (SIPP) at the time of intensive care unit (ICU) admission.
We investigated the relationship between each systems and the mortality.
RESULTS
Overall mortality was 73.8%: 48 out of 65 patients died. Non-survived group (n = 48) had a higher SAPS II score (30.44 +/- 15.99) than survived group (n = 17 [15.7 +/- 6.26], p < 0.001). Serum paraquat level and SIPP were significantly higher in non-survived group than in survived group (p < 0.05, in all comparisons). By using the area under receiver operating characteristic curves (AUC), the SAPS II system yielded equal discriminative power (AUC = 0.82) with serum paraquat level (AUC = 0.896) and SIPP (AUC = 0.865). Hosmer-Lemeshow goodness-of-fit test C indicated SAPS II score validated well in paraquat intoxication group (p = 0.33).
CONCLUSIONS
Serum paraquat level is the best way for prediction of mortality in patients with acute paraquat intoxication. If checking serum paraquat level is impossible or delayed, SAPS II score can be an alternative tool for evaluating the prognosis in paraquat intoxication.
|
KSCCM
