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 on Detection Prognosis of Mortality in Patients with Trauma Admitted to the Intensive Care Unit

Document Type : Original Article (s)

Authors
Parviz Kashefi 1
Saeed Abbasi 1
Maryam Fahim 2
1 Professor, Anesthesiology and Critical Care Research Center AND Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v36i503.9825
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.
Keywords
Trauma
Intensive Care Unit
Sequential organ failure assessment
Acute physiology and chronic health evaluation II
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Journal of Isfahan Medical School
Volume 36, Issue 503 - Serial Number 503
September and October 2019
Pages 1343-1348

  • Receive Date 16 March 2018
  • Accept Date 06 April 2022