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Diagnostics in critical conditions

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Author(s): SadchikovD.V. | PrigorodovM.V. | IvanovR.V.

Journal: Saratov Journal of Medical Scientific Research
ISSN 1995-0039

Volume: 7;
Issue: 3;
Start page: 601;
Date: 2011;
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Keywords: APACHE II scale | Glasgow coma scale | standards of diagnostics

ABSTRACT
The purpose of research: improvement of quality of diagnostics at the patients in a critical condition in intensive care unit. Material and methods. In total have analyzed 1957 medical cards of the patients who have died in ICU»s. At the first stage studied the factors influencing on diagnostics of critically ill patients (medical cards of 1557 patients); at the second stage investigated influence of the diagnostic standards in ICU»s practice on improvement of quality of diag- nostics of critically ill patients (400 medical cards of the patients who have died). Entry criterions were standards and algorithm of diagnostics. Techniques of research: average bed-day in groups, first-day lethality, quantity of the carried out laboratory tests and tool methods of research, level of consciousness of the patients (Glasgow come score), severity of disease by ICU»s patients (APACHE II scores). Results. Quality of diagnostics depend on carried out laboratory tests and tool methods of research, level of consciousness of the patients (Glasgow come score), severity of disease by ICU»s patients (APACHE II score). The conclusion. The laboratory tests and tool methods of research conforming to the standards of diagnostics are necessary for improvement of quality of diagnostics, it is necessary to take into account an altered level of consciousness (Glasgow come score) and severity of disease by ICU»s patients (APACHE II scores)

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