Comparison of sequential organ failure assessment and acute physiology and chronic health evaluation ii scoring systems on detection prognosis of mortality in patients with trauma admitted to the intensive care unit

Abstract

Background: After trauma, clinical examinations and laboratory tests to assess trauma can provide an overview of patients’ prognosis, which is important for the optimal management of patients. In this research project, we decided to compare two scoring systems of Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation II (APACHE II) for predicting the mortality rate of patients with trauma hospitalized in intensive care unit (ICU). Methods: In this retrospective cross-sectional descriptive study, 100 patients with trauma admitted to the intensive care unit were divided into two groups of death and living patients. Demographic data were extracted from patients’ records for calculating APACHE and SOFA scores. The data of this study were compared between the two groups. Findings: The mean SOFA score was 6.19 and 15.56, and mean APACHE II score was 21.26 and 46.87 in living and death groups, respectively; the mean scores of SOFA and APACHE II in the death group was significantly higher than the living group (P < 0.001). The sensitivity and specificity of APACHE II and SOFA scores was 97.44 and 84.62, and 90.16 and 95.08, respectively. Conclusion: The SOFA and APACHE II systems are good and effective to predict mortality in patients with trauma hospitalized in intensive care unit. The sensitivity of APACHE II and SOFA scoring systems is similar, but the specificity of APACHE II is better than SOFA. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.