{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:16:10Z","timestamp":1790036170518,"version":"4.0.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute pyelonephritis (APN) requires prompt diagnosis and immediate treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To develop a simple score to assist in diagnosing treatment deterioration in patients with serious APN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Using data from a retrospective cohort of 193 patients with APN, we developed scores based on multivariate logistic regression after the jackknife procedure. We validated the scores in a prospective cohort of 40 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine criteria were independently associated with our investigation: Abscess (adjusted odds ratio [OR], 19.8; 95% confidence interval [95% CI] 4.5\u201372.1), pyonephrosis with or without stone (18.3; 4.8\u201370.9), pelvicalyceal air (15.5; 3.2\u201326.9), poor global excretion of contrast (12.3; 2.9\u201368.5), tachycardia or hypotension (10.1; 2.5\u201328.0), obliteration of the renal sinus (9.6; 2.5\u201345.2), persistent fever or pyuria (9.8; 1.9\u201325.8), diabetes (9.4; 2.0\u201331.8), and global renal enlargement (7.5; 2.1\u201335.8). The APN score was based on these nine criteria. Low-risk and high-risk groups were derived from the score (probability, 3.5% [95% CI 0\u20137.5] and 67% [51\u201383]). Application of these criteria to the prospective cohort confirmed the diagnostic accuracy of the score (probability 0% [0\u201315] and 71% [25\u2013100] in the low-risk and high-risk groups, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This easy-to-calculate score may prove useful for diagnosing patients with serious APN who deteriorate with treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1258\/ar.2011.110507","type":"journal-article","created":{"date-parts":[[2011,12,20]],"date-time":"2011-12-20T23:15:04Z","timestamp":1324422904000},"page":"233-238","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Serious acute pyelonephritis: a predictive score for evaluation of deterioration of treatment based on clinical and radiologic findings using CT"],"prefix":"10.1177","volume":"53","author":[{"given":"See Hyung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Radiology, Keimyung University, Dongsan Hospital, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Whan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Keimyung University, Dongsan Hospital, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Jung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology, Keimyung University, Dongsan Hospital, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,3,1]]},"reference":[{"key":"bibr-AR-11-0507C1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2009.24.2.296"},{"key":"bibr-AR-11-0507C2","first-page":"1117","volume":"41","author":"Kim SW","year":"2000","journal-title":"Korean J Urol"},{"key":"bibr-AR-11-0507C3","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh308"},{"key":"bibr-AR-11-0507C4","doi-asserted-by":"publisher","DOI":"10.1081\/JDI-120013963"},{"key":"bibr-AR-11-0507C5","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.05.019"},{"key":"bibr-AR-11-0507C6","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-142-1-200501040-00008"},{"key":"bibr-AR-11-0507C7","doi-asserted-by":"publisher","DOI":"10.1086\/520427"},{"key":"bibr-AR-11-0507C8","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-006-0366-3"},{"key":"bibr-AR-11-0507C9","first-page":"168","volume":"14","author":"Browne RFJ","year":"2004","journal-title":"Radiol"},{"key":"bibr-AR-11-0507C10","doi-asserted-by":"publisher","DOI":"10.1097\/00042307-200201000-00008"},{"key":"bibr-AR-11-0507C11","doi-asserted-by":"publisher","DOI":"10.1148\/rg.24si045513"},{"key":"bibr-AR-11-0507C12","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2000.00578.x"},{"key":"bibr-AR-11-0507C13","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-007-0591-3"},{"key":"bibr-AR-11-0507C14","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5520(05)70380-9"},{"key":"bibr-AR-11-0507C15","first-page":"5308","volume":"29","author":"Levy MM","year":"2001","journal-title":"Intensive Care Med"}],"container-title":["Acta Radiologica"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/ar.2011.110507","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/ar.2011.110507","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/ar.2011.110507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:58:59Z","timestamp":1777384739000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1258\/ar.2011.110507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,3]]}},"alternative-id":["10.1258\/ar.2011.110507"],"URL":"https:\/\/doi.org\/10.1258\/ar.2011.110507","relation":{},"ISSN":["0284-1851","1600-0455"],"issn-type":[{"value":"0284-1851","type":"print"},{"value":"1600-0455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3]]}}}