METHOD OF FORECASTING CLINICAL OUTCOMES IN PATIENTS WITH CRITICAL ISCHEMIA OF LOWER EXTREMITIES Russian patent published in 2008 - IPC A61B5/01 G01N33/48 

FIELD: medicine.

SUBSTANCE: method is based on evaluation of degree of inflammatory response in patients with critical ischemia of lower extremities, with a glance of both classic signs of systemic inflammatory response, and additional clinical and laboratory signs of syndrome of systemic inflammatory response. Analysis of venous blood indices is taken, at the same time body temperature ≥38°С or ≤36°С, tachycardia, tachypnea, leucocytes >12х10⁹/L or <4х10⁹/L are measured in patients in the first, the third and the seventh days of hospitalization and one point is assigned to each index, fever 37.0-38.0°С, leucocytes <9-12x10⁹/L, leucocytic left shift >6%, trophic disturbances, C-reactive protein, increased fibrinogen are assigned by 0.5 point each, pain in rest in shin and foot, edema of shin and foot, hyperemia of shin and foot skin and hyperlactatemia are assigned by 0.2 point each, total points at first, third and seventh days are summed up and at total sum from 5.2 to 8.6 favorable outcome of disease is forecasted, at values from 8.7 to 13.6 complications are forecasted, and at values 13.7 and more, fatal outcome is forecasted.

EFFECT: method allows evaluating precisely degree of syndrome of systemic inflammatory response and optimises therapeutic approach.

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