The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2854 |
Resumo: | Budd-Chiari syndrome (BCS) has a wide spectrum of presentations, from an asymptomatic status to acute liver failure (ALF). The therapeutic approach depends on disease severity and related etiology with patients with severe forms of presentation classically managed in intensive care units (ICUs). Here, we report a series of five BCS patients managed in a medical intermediate care unit (IntCU), with three of them presenting with acute liver injury. Progression to ALF was seen in three patients, two of whom died, with one being successfully submitted to liver transplantation. IntCUs allow a 24-h patient surveillance and a prompt management of BCS, with less economic impact when compared to ICUs. Mortality was related to the presence of associated comorbidities that limited therapeutic approach. |
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The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case SeriesAcute liver failureBudd-Chiari syndromeHypercoagulable stateBudd-Chiari syndrome (BCS) has a wide spectrum of presentations, from an asymptomatic status to acute liver failure (ALF). The therapeutic approach depends on disease severity and related etiology with patients with severe forms of presentation classically managed in intensive care units (ICUs). Here, we report a series of five BCS patients managed in a medical intermediate care unit (IntCU), with three of them presenting with acute liver injury. Progression to ALF was seen in three patients, two of whom died, with one being successfully submitted to liver transplantation. IntCUs allow a 24-h patient surveillance and a prompt management of BCS, with less economic impact when compared to ICUs. Mortality was related to the presence of associated comorbidities that limited therapeutic approach.Elmer PressRepositório Científico do Centro Hospitalar Universitário de Santo AntónioCravo, MarciaOliveira, Daniel GGuimas, ArlindoVita, PedroRego, Ana LuisaAlves, RuteValadares, DianaCarvalheiras, GrazielaRicardo, MiguelPinto, AlexandrePessegueiro Miranda, HelenaNery, Filipe Gaio2023-10-30T12:26:23Z2021-052021-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2854engCravo M, Oliveira DG, Guimas A, et al. The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series. J Med Cases. 2021;12(5):190-194. doi:10.14740/jmc36591923-415510.14740/jmc3659info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-02T05:59:30Zoai:repositorio.chporto.pt:10400.16/2854Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:26:27.677732Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series |
title |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series |
spellingShingle |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series Cravo, Marcia Acute liver failure Budd-Chiari syndrome Hypercoagulable state |
title_short |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series |
title_full |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series |
title_fullStr |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series |
title_full_unstemmed |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series |
title_sort |
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series |
author |
Cravo, Marcia |
author_facet |
Cravo, Marcia Oliveira, Daniel G Guimas, Arlindo Vita, Pedro Rego, Ana Luisa Alves, Rute Valadares, Diana Carvalheiras, Graziela Ricardo, Miguel Pinto, Alexandre Pessegueiro Miranda, Helena Nery, Filipe Gaio |
author_role |
author |
author2 |
Oliveira, Daniel G Guimas, Arlindo Vita, Pedro Rego, Ana Luisa Alves, Rute Valadares, Diana Carvalheiras, Graziela Ricardo, Miguel Pinto, Alexandre Pessegueiro Miranda, Helena Nery, Filipe Gaio |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Cravo, Marcia Oliveira, Daniel G Guimas, Arlindo Vita, Pedro Rego, Ana Luisa Alves, Rute Valadares, Diana Carvalheiras, Graziela Ricardo, Miguel Pinto, Alexandre Pessegueiro Miranda, Helena Nery, Filipe Gaio |
dc.subject.por.fl_str_mv |
Acute liver failure Budd-Chiari syndrome Hypercoagulable state |
topic |
Acute liver failure Budd-Chiari syndrome Hypercoagulable state |
description |
Budd-Chiari syndrome (BCS) has a wide spectrum of presentations, from an asymptomatic status to acute liver failure (ALF). The therapeutic approach depends on disease severity and related etiology with patients with severe forms of presentation classically managed in intensive care units (ICUs). Here, we report a series of five BCS patients managed in a medical intermediate care unit (IntCU), with three of them presenting with acute liver injury. Progression to ALF was seen in three patients, two of whom died, with one being successfully submitted to liver transplantation. IntCUs allow a 24-h patient surveillance and a prompt management of BCS, with less economic impact when compared to ICUs. Mortality was related to the presence of associated comorbidities that limited therapeutic approach. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05 2021-05-01T00:00:00Z 2023-10-30T12:26:23Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2854 |
url |
http://hdl.handle.net/10400.16/2854 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Cravo M, Oliveira DG, Guimas A, et al. The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series. J Med Cases. 2021;12(5):190-194. doi:10.14740/jmc3659 1923-4155 10.14740/jmc3659 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elmer Press |
publisher.none.fl_str_mv |
Elmer Press |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799134146137686016 |