State Severity Assessment in Patients with Obstructive Jaundice using PMGMU2018h Scale Adapted to the Russian Medical and Economic Standards

• Published in: Sovremennye tekhnologii v medit͡s︡ine Vol. 12; no. 3; pp. 77 - 81
• Main Authors: Scherbyuk, А N, Dydykin, S S, Ivanov, P А, Laptina, V I, Маnuylov, V М, Nelipa, М V, Levitskaya, А N, Levitskaya, K N, Kruchko, P V, Zhandarov, K А
• Format: Journal Article
• Language: English
• Published: Russia (Federation) Privolzhsky Research Medical University 01-01-2020
• Subjects: APACHE; Clinical Supplements; Humans; Intensive Care Units; Jaundice, Obstructive - diagnosis; Russia; Russia; SOFA; formula of the severity degree for patients with jaundice; MODS; PMGMU2018h scale; SAPS; indicators of obstructive jaundice; APACHE II
• ISSN: 2076-4243; 2309-995X
• DOI: 10.17691/stm2020.12.3.10

was to assess the effectivity of PMGMU2018h scale for evaluation of the state severity degree of patients suffering from obstructive jaundice relative to other common assessment scales.
Thirty physical parameters have been studied and compared according to different assessment scales in each of 258 patients with obstructive jaundice treated in three medical settings.
The main drawback of the examined scales is the necessity to use the parameters for calculations not included in the medical and economic standards of the Russian Federation. This feature makes these scales unsuitable for making decisions on the tactics of managing a concrete patient in the hospitals of the Russian Federation. The scale developed by us for the assessment of the state severity of patients suffering from obstructive jaundice is completely devoid of subjectivism, does not depend on a surgeon's qualifications, and possesses high specificity to the given disease.