{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:44:52Z","timestamp":1777383892315,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"name":"Youth Foundation of Guangxi Medical University","award":["GXMUYSF201502"],"award-info":[{"award-number":["GXMUYSF201502"]}]},{"name":"Youth Foundation of Guangxi Medical University","award":["GXMUYSF201506"],"award-info":[{"award-number":["GXMUYSF201506"]}]},{"DOI":"10.13039\/501100001809","name":"The National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["81360370"],"award-info":[{"award-number":["81360370"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Early diagnosis of acute mesenteric ischemia (AMI) based on clinical judgment has been proved to be too difficult. Therefore, it is important for identifying clinical parameters that can differentiate AMI from other acute abdomen upon presentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed a database of 106 consecutive patients admitted to the emergency ward for suspected AMI in whom diagnosis of AMI was confirmed by laparotomy, CT angiography or mesenteric angiography. The patients\u2019 demographics, previous history, clinical signs, results of laboratory investigations and ultrasonography were collected. Diagnostic cutoff value of quantitative indexes was derived from the receiver operating curve. Multivariate logistic regression was used to identify risk factors for AMI and formulated these risk factors into a scoring system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 45 patients (42.5%) were confirmed to have AMI. Compared with other acute abdomen, AMI had significantly increased level of white blood cell (Odds ratio (OR) 16.11, 95% confidence interval (CI) 1.10\u2013235.34), red cell distribution width (OR 27.65, 95% CI 1.53\u2013501.02), mean platelet volume (OR 16.06, 95% CI 1.48\u2013174.50) and D\u2010dimer (OR 42.91, 95% CI 2.56\u2013718.09). A diagnostic score was calculated by adding points assigned to the four parameters, and a cutoff score of four best identified patients with AMI, with sensitivity, specificity, positive and negative predictive values of 97.8, 91.8, 89.8 and 98.2%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This scoring system based on easily available parameters could be used as a useful tool for differentiating AMI from other acute abdomen in the emergency ward. Prospective studies with large sample remain needed for validating the results.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-3984-9","type":"journal-article","created":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T19:16:03Z","timestamp":1490037363000},"page":"1966-1974","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A Novel Scoring System for Diagnosing Acute Mesenteric Ischemia in the Emergency Ward"],"prefix":"10.1002","volume":"41","author":[{"given":"Zhen","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery The First Affiliated Hospital of Guangxi Medical University 6 Shuangyong Road 530021 Nanning Guangxi Zhuang Autonomous Region China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun\u2010Qiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery The First Affiliated Hospital of Guangxi Medical University 6 Shuangyong Road 530021 Nanning Guangxi Zhuang Autonomous Region China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin\u2010lu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery The First Affiliated Hospital of Guangxi Medical University 6 Shuangyong Road 530021 Nanning Guangxi Zhuang Autonomous Region China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery The First Affiliated Hospital of Guangxi Medical University 6 Shuangyong Road 530021 Nanning Guangxi Zhuang Autonomous Region China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,20]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2009.12.001"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10091938"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/bega.2000.0157"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000338086"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010009\u20100074\u20107"},{"issue":"3","key":"e_1_2_6_7_2","first-page":"220","article-title":"Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis","volume":"51","author":"Chong CF","year":"2010","journal-title":"Singap Med J"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.161.1.92"},{"key":"e_1_2_6_9_2","doi-asserted-by":"crossref","unstructured":"HenesFO PickhardtPJ HerzykA LeeSJ MotosugiU DerlinT LubnerMG AdamG Sch\u00f6nG BannasP(2016) CT angiography in the setting of suspected acute mesenteric ischemia: prevalence of ischemic and alternative diagnoses.Abdom Radiol[Epub ahead of print]","DOI":"10.1007\/s00261-016-0988-0"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2003.11.013"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.1138"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinchem\/39.4.561"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/145749691009900212"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000141719.24321.0B"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365510701646264"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1160\/TH12\u201003\u20100165"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.3109\/09537104.2014.886678"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2012.07.011"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749\u20107922\u20108\u201049"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010014\u20102706\u20109"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330\u2010008\u20101124\u20105"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11239\u2010011\u20100660\u2010z"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2012.07.029"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i9.1338"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.10.1054"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-017-3984-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-017-3984-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-017-3984-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-017-3984-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T23:21:14Z","timestamp":1704928874000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-017-3984-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,20]]},"references-count":24,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1007\/s00268-017-3984-9"],"URL":"https:\/\/doi.org\/10.1007\/s00268-017-3984-9","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,20]]}}}