Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparison of Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation III Scoring Systems in Prediction of Mortality in Non-traumatic Patients Admitted to the Intensive Care Unit

Document Type : Original Article (s)

Authors
Hamidreza Shetabi 1
Parviz Kashefi 2
Iman Heidari 3
1 Assistant Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v36i496.10646
Abstract
Background: Due to the insufficiency of resources in the intensive care unit (ICU), different ranking and evaluation systems are presented in order to predict the prognosis and mortality rates of patients in ICU. Two of these evaluation systems are Acute Physiology and Chronic Health Evaluation (APACHE) and Sequential Organ Failure Assessment (SOFA). So far, these two systems have not been compared. So we aimed to compare SOFA and APACHE III.Methods: This cross-sectional study was performed in 2016 in Alzahra hospital, Isfahan, Iran. We studied a total number of 100 non-traumatic ICU patients, and APACHE and SOFA scores were evaluated for each of them. Data were then collected and analyzed using SPSS software.Findings: Of the total 100 patients, 21% of them died. Both APACHE III and SOFA had an accuracy rate of 95.20% for those patients who were going to die. On the other hand, SOFA system had an accuracy rate of 26.08% for prediction of those patients who were going to live, which was 36.36% for APACHE III in same patients (P < 0.001).Conclusion: Our results indicate that APACHE III and SOFA have the same value in prediction of mortality rate in patients admitted to ICU; but for negative predictive values, APACHE III has a better preference.
Keywords
Intensive Care Unit
Mortality
APACHE III
SOFAS scores
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Journal of Isfahan Medical School
Volume 36, Issue 496 - Serial Number 496
July and August 2018
Pages 1093-1099

  • Receive Date 12 August 2018
  • Accept Date 06 April 2022