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

Scherbyuk АN 1 , Dydykin SS 2 , Ivanov PА 3 , Laptina VI 4 , Маnuylov VМ 5 , Nelipa МV 6 Show all authors , Levitskaya АN 7 , Levitskaya KN 7 , Kruchko PV 4 , Zhandarov KА 8

Affiliations 

  • 1 Professor, Department of Operative Surgery and Topographic Anatomy; I.M. Sechenov First Moscow State Medical University (Sechenov University), 8/2 Malaya Trubetskaya St., Moscow, 119991, Russia
  • 2 Head of the Department of Operative Surgery and Topographic Anatomy; I.M. Sechenov First Moscow State Medical University (Sechenov University), 8/2 Malaya Trubetskaya St., Moscow, 119991, Russia
  • 3 Professor, Research Adviser; N.V. Sklifosovsky Research Institute of Emergency Care, 3 Bolshaya Sukharevskaya Square, Moscow, 129090, Russia
  • 4 Assistant, Department of Operative Surgery and Topographic Anatomy; I.M. Sechenov First Moscow State Medical University (Sechenov University), 8/2 Malaya Trubetskaya St., Moscow, 119991, Russia
  • 5 Chief Doctor; Pushkino District Hospital named after Prof. V.N. Rozanova, 35 Aviatsionnaya St., Pushkino, Moscow Region, 141206, Russia
  • 6 Associate Professor, Department of Operative Surgery and Topographic Anatomy; I.M. Sechenov First Moscow State Medical University (Sechenov University), 8/2 Malaya Trubetskaya St., Moscow, 119991, Russia; Surgeon; Pushkino District Hospital named after Prof. V.N. Rozanova, 35 Aviatsionnaya St., Pushkino, Moscow Region, 141206, Russia
  • 7 Student; I.M. Sechenov First Moscow State Medical University (Sechenov University), 8/2 Malaya Trubetskaya St., Moscow, 119991, Russia
  • 8 Associate Professor, Department of Operative Surgery and Topographic Anatomy; I.M. Sechenov First Moscow State Medical University (Sechenov University), 8/2 Malaya Trubetskaya St., Moscow, 119991, Russia
Sovrem Tekhnologii Med, 2021;12(3):77-81.
PMID: 34795983 DOI: 10.17691/stm2020.12.3.10

Abstract

The aim of the study 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.

MATERIALS AND METHODS: 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.

RESULTS: 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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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