Publications by authors named "Chang Shin Kang"
Article Synopsis
- Effective triage of febrile patients is essential in emergency departments, especially during overcrowding and pandemics, and requires a reliable tool for prioritizing care and resources.
- The study developed a modified version of the qSOFA score called ASqSOFA, which incorporates factors like age, sex, oxygen saturation, and lactate levels, showing accuracy in predicting in-hospital mortality and ICU admissions.
- ASqSOFA outperforms other existing triage scales and offers a simple scoring system, making it useful for emergency settings and potential prehospital applications.
Surgical debridement is an essential step in treating complex facial lacerations (CFL). As the CFL severity increases, conventional surgical debridement (CSD) of wound edges becomes difficult and may be insufficient. Because the severity and shape of each CFL vary, it is necessary to tailor the customized pre-excisional design, that is, tailored surgical debridement (TSD), for each case before performing surgical debridement.
View Article and Find Full Text PDFPurpose: To verify the role of lactate dehydrogenase to albumin (LDH/ALB) ratio as an independent prognostic factor for mortality due to the lower respiratory tract infection (LRTI) in the emergency department (ED).
Methods: We reviewed the electronic medical records of patients who were admitted to the ED for the management of LRTI between January 2018 and December 2020. Initial vital signs, laboratory data, and patient severity scores in the ED were collected.
This study was performed to verify whether lactate dehydrogenase to albumin (LDH/ALB) ratio could be used as an independent prognostic factor in patients with severe infection requiring intensive care.We reviewed electronic medical records of patients hospitalized to the intensive care unit via the emergency department with a diagnosis of infection between January 2014 and December 2019. From the collected data, ALB-based ratios (LDH/ALB, blood urea nitrogen to albumin, C-reactive protein to albumin, and lactate to albumin ratios) and some severity scores (modified early warning score, mortality in emergency department sepsis score [MEDS], and Acute Physiology And Chronic Health Evaluation II [APACHE II] score) were calculated.
View Article and Find Full Text PDFBackground: The use of personal protective equipment for respiratory infection control during cardiopulmonary resuscitation (CPR) is a physical burden to healthcare providers. The duration for which CPR quality according to recommended guidelines can be maintained under these circumstances is important. We investigated whether a 2-min shift was appropriate for chest compression and determined the duration for which chest compression was maintained in accordance with the recommended guidelines while wearing personal protective equipment.
View Article and Find Full Text PDFThis study aimed to evaluate times for measuring serum lactate dehydrogenase levels (SLLs) to predict neurological prognosis among out-of-hospital cardiac arrest (OHCA) survivors.This retrospective study examined patients who experienced OHCA treated with targeted temperature management (TTM). The SLLs were evaluated at the return of spontaneous circulation (ROSC) and at 24, 48, and 72 hours later.
View Article and Find Full Text PDFThis retrospective cohort study aimed to compare the effectiveness of conventional treatment and ultra-early application of negative pressure wound therapy (NPWT) in patients with snakebites.Patients who visited the emergency department within 24 hours after a snakebite were assigned to the non- NPWT or NPWT group. Swelling resolution time and rates of necrosis, infection, and operations were compared between the 2 groups.
View Article and Find Full Text PDFBackground: Serum interleukin-6 (IL-6) is a cytokine released in response to an inflammatory stimulus or tissue injury. IL-6 levels are known to increase in patients with brain injury.
Objective: We investigated the neurologic outcomes associated with serum IL-6 levels in out-of-hospital cardiac arrest (OHCA) survivors who underwent target temperature management (TTM).
Purpose: Cerebrospinal fluid (CSF) lactate dehydrogenase (LDH) levels increase in patients with brain injury. We investigated neurologic outcomes associated with CSF LDH levels in out-of-hospital cardiac arrest (OHCA) survivors who underwent target temperature management (TTM).
Materials And Methods: This was a prospective single-centre observational study from April 2018 to May 2019 on a cohort of 41 patients.
Article Synopsis
- The study aimed to determine if cortical necrosis (CN) and the severity of cytotoxic and cerebral edema on early brain imaging can predict neurological outcomes in out-of-hospital cardiac arrest survivors.
- In a retrospective analysis of 36 patients, significant predictive performance was seen for CN and quantitative measurements of edema, with a combined score showing the highest accuracy for predicting poor outcomes.
- The findings suggest that using ultra-early imaging techniques can effectively forecast neurological recovery in this patient population before initiating targeted temperature management.