000 | 02600cam a2200349 a 4500 | ||
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003 | EG-GiCUC | ||
005 | 20250223031539.0 | ||
008 | 160823s2016 ua dh f m 000 0 eng d | ||
040 |
_aEG-GiCUC _beng _cEG-GiCUC |
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041 | 0 | _aeng | |
049 | _aDeposite | ||
097 | _aPh.D | ||
099 | _aCai01.11.09.Ph.D.2016.Mo.S | ||
100 | 0 | _aMohamed Mahmoud Rashad Elbadawy Badr | |
245 | 1 | 0 |
_aStrong ion gap as a predictor of outcome in septic patients / _cMohamed Mahmoud Rashad Elbadawy Badr ; Supervised Hassan Mohamed Khalid , Mahmoud Ali Elbadry , Abeer Mosbah Abdelhameed |
246 | 1 | 5 | _aفجوة الأيونات القوية كمؤشر للتنبؤ بنتاج مرضى التعفن الدموي |
260 |
_aCairo : _bMohamed Mahmoud Rashad Elbadawy Badr , _c2016 |
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300 |
_a107 P. : _bcharts , facsimiles ; _c25cm |
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502 | _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine | ||
520 | _aBackground: Acid base disturbances, especially metabolic acidosis are common in septic patients. Physicochemical approach described by Stewart and modified by Figge quantify precisely metabolic acidosis and gives insight into its main mechanisms, as well as influence of unmeasured anion on metabolic acidosis. Aim. The aims of this study were to determine the role of acid base variables obtained on admission to ICU and 24 hours later predicting outcome in septic patients; whether the strong ion differences (SID) and strong ions gap (SIG) correlate with outcome from sepsis; comparison of predictive value of acid base variables or SID/SIG variables versus other well-known severity scores (like APATCHE II and SOFA scores). Results. Acute physiology and chronic health evaluation (APACHE II), SOFA score, SIG, SIDe, anion gap (AG), corrected anion gap and SBE were statistically significant predictors. Serum lactic acid had non-significant discriminating ability between survivors and non survivors, but lactate clearance had better ability. ROC analysis results showed that SIG followed by SIDe had the largest area below the curve and were more sensitive and specific than other predictors. | ||
530 | _aIssued also as CD | ||
653 | 4 | _aMetabolic acidosis | |
653 | 4 | _aStrong ion difference | |
653 | 4 | _aStrong ion gap | |
700 | 0 |
_aAbeer Mosbah Abdelhameed , _eSupervisor |
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700 | 0 |
_aHassan Mohamed Khalid , _eSupervisor |
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700 | 0 |
_aMahmoud Ali Elbadry , _eSupervisor |
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856 | _uhttp://172.23.153.220/th.pdf | ||
905 |
_aNazla _eRevisor |
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905 |
_aSoheir _eCataloger |
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_2ddc _cTH |
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_c57521 _d57521 |