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What Is the Utility of Clinical Scoring Systems for the Diagnosis/Prognosis of Mesenteric Ischemia?

  • Courtney H. McKee
  • Sarah Ronan-BentleEmail author
Chapter

Abstract

There are currently no scoring systems for the diagnosis of acute mesenteric ischemia (AMI); rather diagnosis is made through assessment of history, exam, laboratory adjuncts, and diagnostic imaging. There are also no validated scoring systems for the prognosis of AMI – though multiple factors have been proposed as impacting mortality in patients with AMI, notably elevated lactate, delay in diagnosis >24 h from onset of symptoms, and indicators of systemic illness (sepsis, SOFA, shock index). Pre-existing comorbidities such as atrial fibrillation also may portend increased mortality. Further research is required to build a prognostic model for patients with AMI.

Keywords

Acute mesenteric ischemia Atrial fibrillation Lactic acidosis Sepsis Bowel necrosis Systemic organ failure assessment Shock index SOFA 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of Cincinnati College of Medicine, Department of Emergency MedicineCincinnatiUSA

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