Development of Latrodectus Envenomation Severity Score (LESS); a Severity Index for Widow Spider Bite: Initial Step

Publish Year: 1393
نوع سند: مقاله ژورنالی
زبان: English
View: 275

This Paper With 5 Page And PDF Format Ready To Download

  • Certificate
  • من نویسنده این مقاله هستم

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این Paper:

شناسه ملی سند علمی:

JR_PJMT-3-1_003

تاریخ نمایه سازی: 23 مهر 1398

Abstract:

Background: In order to describe the patients and evaluate the effectiveness of treatments for widow spider envenomation, investigators require a reliable assessment tool. In this paper, the development of a clinical index for measuring the widow spider bite severity, Latrodectus Envenomation Severity Score (LESS), is described. Methods: According to the valid methods for index development, a Delphi group process was applied. A panel of 13 experienced medical toxicologists and physician experts in treatment of black widow spider bites was assembled in December 2013. The participants were asked to score clinical manifestations of Latrodectus envenomation based on their importance on the severity and patients’ prognosis. Hence, an initial draft of the severity index was developed and in the second phase of study, the draft was discussed in a focus group of experts to finally comment on each variable and vote about the final scores. Results: The proposed version of LESS comprises of 34 clinical items categorized in 8 organ systems. The index includes definition of each clinical variable to help users of the index how to ascertain or rule out the clinical finding. The maximum theoretical score according to LESS is 87. Acute renal failure, myocarditis, pulmonary edema and ileus received the highest scores in this index. Conclusion: The LESS is a new assessment tool that is designed to more objectively evaluate the severity and progression of envenomation in victims of widow spider bite. The prognostic-ability, reliability and sensitivity to change of the index should be investigated in future studies.   How to cite this article: Monzavi SM, Afshari R. Development of Latrodectus Envenomation Severity Score (LESS); a Severity Index for Widow Spider Bite: Initial Step. Asia Pac J Med Toxicol 2014;3:18-22.

Keywords:

Authors

Seyed Monzavi

Addiction Research Centre (ADRC), Mashhad University of Medical Sciences, School of Medicine, Mashhad, Iran

Reza Afshari

Addiction Research Centre (ADRC), Mashhad University of Medical Sciences, School of Medicine, Mashhad, Iran

مراجع و منابع این Paper:

لیست زیر مراجع و منابع استفاده شده در این Paper را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود Paper لینک شده اند :
  • Peterson ME. Black widow spider envenomation. Clin Tech Small Anim ...
  • Isbister GK, Fan HW. Spider bite. Lancet 2011;378(9808):2039-47. ...
  • Afshari R, Khadem-Rezaiyan M, Balali-Mood M. Spider bite (latrodectism) in ...
  • Kose A, Bozkurt S, Lok U, Zenginol M, Yildirim C, ...
  • Karcioglu O1, Gumustekin M, Tuncok Y, Celik A. Acute renal ...
  • Maretić Z. Latrodectism: variations in clinical manifestations provoked by Latrodectus ...
  • Isbister GK, Gray MR. Latrodectism: a prospective cohort study of ...
  • Clark RF, Wethern-Kestner S, Vance MV, Gerkin R. Clinical presentation ...
  • Isbister GK, Brown SG, Miller M, Tankel A, Macdonald E, ...
  • Isbister GK, Page C, Buckley N, Fatovitch D, Pascu O, ...
  • Khosrojerdi H, Afshari R. Tramadol is Superior to Methadone in ...
  • Gustafson DH, Fryback DG, Rose JH, Yick V, Prokop CT, ...
  • Fink A, Kosecoff J, Chassin M, Brook RH. Consensus methods: ...
  • Hahn I. Arthropods. In: Nelson LS, Lewin NA, Howland MA, ...
  • Graudins A. Spiders. In: Shannon MW, Borron SW, Burns MJ, ...
  • Afshari R, Monzavi SM. Venomous animals and arthropods envenomation. In: ...
  • Schaefer TJ, Wolford RW. Disorders of potassium. Emerg Med Clin ...
  • Afshari R, Majdzadeh R, Balali-Mood M. Pattern of acute poisonings ...
  • Barry JD, Wills BK. Neurotoxic emergencies. Neurol Clin 2011;29(3):539-63. ...
  • Gueron M, Ilia R, Margulis G. Arthropod poisons and the ...
  • Jelinek GA. Widow spider envenomation (latrodectism): a worldwide problem. Wilderness ...
  • Levine M, Canning J, Chase R, Ruha AM. Cardiomyopathy following ...
  • Kara H, Ak A, Bayir A, Avci A. Reversible myocarditis ...
  • Ramialiharisoa A, de Haro L, Jouglard J, Goyffon M. Latrodectism ...
  • Boyle MH, Torrance GW. Developing multiattribute health indexes. Med Care ...
  • نمایش کامل مراجع