Acute and Critical Care

Sang Won Seo

2 Articles

Utility of the DECAF Score in Patients Admitted to Emergency Department with Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Ji Hyoung Son, Jang Young Lee, Young Mo Yang, Won Young Sung, Sang Won Seo, Jin Cheol Kim, Wonsuk Lee; Korean J Crit Care Med. 2013;28(4):255-265.; DOI: https://doi.org/10.4266/kjccm.2013.28.4.255

4,149 View
109 Download
3 Crossref

BACKGROUND
Exacerbations of chronic obstructive pulmonary disease (COPD) are common and can be fatal. However, it is difficult to predict the in-hospital mortality, severity and prognosis of patients. Prognostic tools are needed to assess exacerbations of COPD in the emergency department. Towards this end, we compared DECAF (dyspnea, eosinopenia, consolidation, acidemia, atrial fibrillation) score with other prognostic tools available in the emergency department.
METHODS
Consecutive patients admitted to the emergency department with exacerbations of COPD were recruited. We compared the DECAF score to CAPS (chronic obstructive pulmonary disease and asthma physiology score), BAP (blood urea nitrogen, altered mental status, pulse)-65 class and CURB (confusion, urea, respiratory rate, blood pressure)-65 score and assessed in-hospital mortality, endotracheal intubation, admission to the intensive care unit and admission to the hospital.
RESULTS
The in-hospital mortality rate was 4.9%. The DECAF score showed excellent discrimination for in-hospital mortality (AUROC = 0.72, p = 0.002), endotracheal intubation (AUROC = 0.92, p < 0.001), admission to the intensive care unit (AUROC = 0.90, p < 0.001) and admission to the hospital (AUROC = 0.83, p < 0.001).
CONCLUSIONS
The DECAF score is a simple and effective prognostic tool for assessing cases involving exacerbation of COPD in the emergency department. Emergency physicians should consider hospital admission if the DECAF score is more than 1 and consider admission to the intensive care unit and endotracheal intubation if the DECAF score is more than 3.

Citations

Citations to this article as recorded by

Comparison of BAP65, DECAF, PEARL, and MEWS Scores in Predicting Respiratory Support Need in Hospitalized Exacerbation of Chronic Obstructive Lung Disease Patients
Nilüfer Aylin Acet-Öztürk, Özge Aydin-Güçlü, Merve Nur Yildiz, Ezgi Demirdöğen, Aslı Görek Dilektaşli, Funda Coşkun, Esra Uzaslan, Ahmet Ursavaş, Mehmet Karadağ
Medical Principles and Practice.2024; 33(4): 355. CrossRef
The v‐DECAF score can predict 90‐day all‐cause mortality in patients with COPD exacerbation requiring invasive mechanical ventilation
Qi‐fang Shi, Ying Sheng, Nian Zhu, Yan Tan, Xiao‐Hong Xie, Shu‐yun Wang, Jin‐fang Cai
The Clinical Respiratory Journal.2019; 13(7): 438. CrossRef
Value of the DECAF score in predicting hospital mortality in patients with acute exacerbation of chronic obstructive pulmonary disease admitted to Zagazig University Hospitals, Egypt
Ramadan Nafae, Sameh Embarak, Doaa Mostafa Gad
Egyptian Journal of Chest Diseases and Tuberculosis.2015; 64(1): 35. CrossRef

A Study on Estimating the Blood Pressure by Using the Pulse Wave Transit Time in Shock Patients Who Received Vasopressor Drugs: Gyeong Nam Park, Won Young Sung, Sang Won Seo, Sung Youp Hong, Young Mo Yang, Jang Young Lee, Nak Jin Sung, Hee Bum Yang; Korean J Crit Care Med. 2009;24(1):11-16.; DOI: https://doi.org/10.4266/kjccm.2009.24.1.11

4,079 View
45 Download
1 Crossref

Abstract PDF

BACKGROUND
Blood pressure is clinically used for monitoring shock patients and as a therapeutic indicator for them. Non-invasive blood pressure measurement has weak points such as the use of a cuff and it is a discontinuous measurement. A method of measuring the blood pressure by using the PWTT (pulse wave transit time) has been studied to make up for those weak points. If blood pressure monitoring can be done by using the difference of the PWTT between different points in the body, then this method will be a quite useful to monitor the BP of seriously ill patients. This study aimed to verify whether or not the PWTT has a significant correlation with the blood pressure of shock patients who received vasopressor infusion and whether this method is clinically applicable.
METHODS
The study subjects were 20 shock patients who were hospitalized in intensive care units and they had received vasopressor, and we measured the PWTT and we analyzed its correlation with the SBP (systolic blood pressure) and DBP (diastolic blood pressure), as measured by non-invasive monitoring. We then determined the effects of the PWTT on the SBP and DBP.
RESULTS
From the results of correlation analysis between the PWTT and the SBP and DBP, the SBP displayed a statistically significant negative correlation with the PWTT of 18 patients, while no significant correlation between the PWTT and DBP was observed. At the same time, from the results of the regression analysis of the blood pressures and the PWTT of each patient, it was found that the PWTT had a negative effect on the SBP of all the patients, except two.
CONCLUSIONS
The PWTT has a negative correlation with the SBP of the patients who received vasopressor infusion.

Citations

Citations to this article as recorded by

Development of Blood Pressure Simulator for Test of the Arm-type Automatic Blood Pressure Monitor
S.H. Kim, S.U. Yun, M.H. Cho, S.J. Lee, M.H. Lim, S.Y. Seo, G.R. Jeon
Journal of Sensor Science and Technology.2015; 24(4): 239. CrossRef

Author index