Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun

This was a prospective observational study conducted in University Malaya Medical Centre (UMMC) from November 2017 until May 2018. The objective of this study was to check the association between parameters of Battery of Life (BOL) with the primary outcome (Death/Functional decline) at 30 days. T...

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Main Author: Johnathan Tan, Wei Lun
Format: Thesis
Published: 2018
Subjects:
Online Access:http://studentsrepo.um.edu.my/11201/
http://studentsrepo.um.edu.my/11201/1/johnathan.pdf
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author Johnathan Tan, Wei Lun
author_facet Johnathan Tan, Wei Lun
author_sort Johnathan Tan, Wei Lun
building UM Research Repository
collection Online Access
description This was a prospective observational study conducted in University Malaya Medical Centre (UMMC) from November 2017 until May 2018. The objective of this study was to check the association between parameters of Battery of Life (BOL) with the primary outcome (Death/Functional decline) at 30 days. The study population were adult patients aged more than 16 years old referred to crash team UMMC during the period of time. Paediatric patients and pregnant women were excluded. A total of 313 patients were recruited and followed up daily up until 30 days or until discharge and their daily BOL score were recorded. The 6 parameters of BOL concerned with the delivery of oxygen and energy at the tissue level, namely airway, breathing, circulation, haemoglobin, microcirculation and glucose levels, with each parameter having 4 grades of severity (25%; 50%; 75%; 100%) were determined. The daily BOL score is taken as the lowest of all these 6 parameters. The patients would then be followed up at 30 days to determine their primary outcome (death, functional decline, no functional decline). It was concluded that the day 1 BOL score does affect the primary outcome of patient at 30 day. Those scoring 25% had a higher relative risk of mortality of 1.54 times (p<0.001) and a higher relative risk of functional decline/mortality of 1.45 times (P<0.001) at 30 days. Minimum BOL also does affect the outcome of patient at 30 day with those scoring 25% had a higher relative risk of mortality 5.04 times (p<0.005) and a higher relative risk of functional decline/mortality of 2.71 times (p<0.005).
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spelling um-112012020-07-28T18:17:07Z Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun Johnathan Tan, Wei Lun R Medicine (General) This was a prospective observational study conducted in University Malaya Medical Centre (UMMC) from November 2017 until May 2018. The objective of this study was to check the association between parameters of Battery of Life (BOL) with the primary outcome (Death/Functional decline) at 30 days. The study population were adult patients aged more than 16 years old referred to crash team UMMC during the period of time. Paediatric patients and pregnant women were excluded. A total of 313 patients were recruited and followed up daily up until 30 days or until discharge and their daily BOL score were recorded. The 6 parameters of BOL concerned with the delivery of oxygen and energy at the tissue level, namely airway, breathing, circulation, haemoglobin, microcirculation and glucose levels, with each parameter having 4 grades of severity (25%; 50%; 75%; 100%) were determined. The daily BOL score is taken as the lowest of all these 6 parameters. The patients would then be followed up at 30 days to determine their primary outcome (death, functional decline, no functional decline). It was concluded that the day 1 BOL score does affect the primary outcome of patient at 30 day. Those scoring 25% had a higher relative risk of mortality of 1.54 times (p<0.001) and a higher relative risk of functional decline/mortality of 1.45 times (P<0.001) at 30 days. Minimum BOL also does affect the outcome of patient at 30 day with those scoring 25% had a higher relative risk of mortality 5.04 times (p<0.005) and a higher relative risk of functional decline/mortality of 2.71 times (p<0.005). 2018 Thesis NonPeerReviewed application/pdf http://studentsrepo.um.edu.my/11201/1/johnathan.pdf Johnathan Tan, Wei Lun (2018) Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun. Masters thesis, University of Malaya. http://studentsrepo.um.edu.my/11201/
spellingShingle R Medicine (General)
Johnathan Tan, Wei Lun
Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun
title Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun
title_full Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun
title_fullStr Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun
title_full_unstemmed Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun
title_short Battery of life (BOL) assessment in critically ILL patients / Johnathan Tan Wei Lun
title_sort battery of life (bol) assessment in critically ill patients / johnathan tan wei lun
topic R Medicine (General)
url http://studentsrepo.um.edu.my/11201/
http://studentsrepo.um.edu.my/11201/1/johnathan.pdf