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

(2019) Comparison of sequential organ failure assessment and acute physiology and chronic health evaluation III scoring systems on detection prognosis of mortality in patients with trauma admitted to the intensive care unit. Journal of Isfahan Medical School. pp. 1343-1348. ISSN 10277595 (ISSN)

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Abstract

Background: So far, several scoring systems have been used to predict the prognosis of patients admitted to intensive care unit (ICU). Sequential organ failure assessment (SOFA) and acute physiology and chronic health evaluation III (APACHE III) are two of these scoring systems. In this study, these two scoring systems were compared in patients with trauma hospitalized in ICU. Methods: In this retrospective cross-sectional descriptive study, 100 patients were randomly selected from those who admitted to the ICU of Alzahra hospital in Isfahan, Iran in, during 2016-2017, and divided into two groups of living and dead. Demographic and clinical data and laboratory results were extracted and analyzed from patient medical files. Findings: The scores calculated by two scoring systems were significantly higher in the dead group than the living group. There was a significant difference between the two groups based on the qualitative scores of the SOFA system. Based on the receiver operating characteristic (ROC) curve, the sensitivity and the specificity was 90.32 and 94.20 for SOFA, and 90.32 and 86.96 for APACHE III, respectively. Conclusion: APACHEIII and SOFA scoring systems are with high sensitivity and the specificity to predict the prognosis of patients with trauma hospitalized in ICU, and cannot be considered superior to another. The simplicity of the SOFA in the calculation may make the assessment easier and less time-consuming. © 2019, Isfahan University of Medical Sciences(IUMS). All rights reserved.

Item Type: Article
Keywords: Acute physiology and chronic health evaluation II Intensive care unit Sequential organ failure assessment Trauma adult APACHE Article controlled study cross-sectional study female hospitalization human injury major clinical study male mortality multiple organ failure organ dysfunction score predictive value prognosis randomized controlled trial receiver operating characteristic retrospective study scoring system sensitivity and specificity Sequential Organ Failure Assessment Score
Divisions: Anesthesiology and Critical Care Research Center
Faculty of Medicine > Departments of Clinical Sciences > Department of Anesthesiology
Faculty of Medicine > Student Research Committee
Page Range: pp. 1343-1348
Journal or Publication Title: Journal of Isfahan Medical School
Journal Index: Scopus
Volume: 36
Number: 503
Identification Number: https://doi.org/10.22122/jims.v36i501.9825
ISSN: 10277595 (ISSN)
Depositing User: Zahra Otroj
URI: http://eprints.mui.ac.ir/id/eprint/10788

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