triiodothyronine--reverse and Ischemia

triiodothyronine--reverse has been researched along with Ischemia* in 1 studies

Other Studies

1 other study(ies) available for triiodothyronine--reverse and Ischemia

Article	Year
Euthyroid sick syndrome, associated endocrine abnormalities, and outcome in elderly patients undergoing emergency operation. Surgery, 1998, Volume: 123, Issue:5 Emergency operation in the elderly carries a high risk of death. We investigated the incidence of euthyroid sick syndrome (ESS) and associated nutritional and endocrine abnormalities and their relationship to postoperative outcome in this population.. Sixty-six patients older than 70 years of age requiring emergency operations were assessed before any therapeutic intervention. Values for thyroid hormones, catecholamines, cortisol, interleukin-6, interleukin-1, C-reactive protein, and the Acute Physiology and Chronic Health Evaluation II score were determined. Nutritional assessment was carried out. Mortality rates and duration of hospital stay were related to ESS and albumin concentrations.. ESS was diagnosed in 34 patients (51.50%) and was associated with worse Acute Physiology and Chronic Health Evaluation II scores (10.9 vs 8.6; p = 0.004), hypoalbuminemia (34.7 vs 40.8 gm/L; p = 0.0001), lower triceps skinfold (11.8 vs 14.6 mm; p = 0.03), and higher cortisol and norepinephrine levels (937 vs 741 nmol/L [p = 0.04] and 358 vs 250 pg/ml [p = 0.02], respectively), interleukin-6 plasma concentrations (347 vs 113 pg/ml; p = 0.01), death rate (20% vs 0%; p = 0.02), and length of hospital stay (17.2 vs 11.8 days; p = 0.03). A serum albumin level less than 35 gm/L was virtually always associated with ESS.. ESS is highly prevalent in the elderly with acute surgical problems and is associated with poor nutrition, higher sympathetic response, and worse postoperative outcome. The serum albumin level at admission is a specific marker of ESS. Topics: Aged; Aged, 80 and over; APACHE; C-Reactive Protein; Communicable Diseases; Emergencies; Euthyroid Sick Syndromes; Fractures, Bone; Hand Strength; Hormones; Humans; Incidence; Infarction; Intestinal Obstruction; Intestines; Ischemia; Leg; Norepinephrine; Nutrition Assessment; Peritonitis; Postoperative Complications; Prevalence; Prospective Studies; Regression Analysis; Risk Factors; Serum Albumin; Skinfold Thickness; Treatment Outcome; Triiodothyronine; Triiodothyronine, Reverse	1998

Article

Year

Euthyroid sick syndrome, associated endocrine abnormalities, and outcome in elderly patients undergoing emergency operation.

Surgery, 1998, Volume: 123, Issue:5

Emergency operation in the elderly carries a high risk of death. We investigated the incidence of euthyroid sick syndrome (ESS) and associated nutritional and endocrine abnormalities and their relationship to postoperative outcome in this population.. Sixty-six patients older than 70 years of age requiring emergency operations were assessed before any therapeutic intervention. Values for thyroid hormones, catecholamines, cortisol, interleukin-6, interleukin-1, C-reactive protein, and the Acute Physiology and Chronic Health Evaluation II score were determined. Nutritional assessment was carried out. Mortality rates and duration of hospital stay were related to ESS and albumin concentrations.. ESS was diagnosed in 34 patients (51.50%) and was associated with worse Acute Physiology and Chronic Health Evaluation II scores (10.9 vs 8.6; p = 0.004), hypoalbuminemia (34.7 vs 40.8 gm/L; p = 0.0001), lower triceps skinfold (11.8 vs 14.6 mm; p = 0.03), and higher cortisol and norepinephrine levels (937 vs 741 nmol/L [p = 0.04] and 358 vs 250 pg/ml [p = 0.02], respectively), interleukin-6 plasma concentrations (347 vs 113 pg/ml; p = 0.01), death rate (20% vs 0%; p = 0.02), and length of hospital stay (17.2 vs 11.8 days; p = 0.03). A serum albumin level less than 35 gm/L was virtually always associated with ESS.. ESS is highly prevalent in the elderly with acute surgical problems and is associated with poor nutrition, higher sympathetic response, and worse postoperative outcome. The serum albumin level at admission is a specific marker of ESS.

Topics: Aged; Aged, 80 and over; APACHE; C-Reactive Protein; Communicable Diseases; Emergencies; Euthyroid Sick Syndromes; Fractures, Bone; Hand Strength; Hormones; Humans; Incidence; Infarction; Intestinal Obstruction; Intestines; Ischemia; Leg; Norepinephrine; Nutrition Assessment; Peritonitis; Postoperative Complications; Prevalence; Prospective Studies; Regression Analysis; Risk Factors; Serum Albumin; Skinfold Thickness; Treatment Outcome; Triiodothyronine; Triiodothyronine, Reverse

1998