Comparison of Simplified Acute Physiology Score III and Sequential Organ Failure Assessment on Detection Prognosis of Mortality in Patients with Trauma Admitted to the Intensive Care Units of Alzahra Hospital, Isfahan, Iran, in 2015
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
Recently, there are many scoring systems to determine the mortality rate among the patients with trauma. The aim of this study was to compare the Simplified Acute Physiology Score (SAPS) III and Sequential Organ Failure Assessment (SOFA) tests in determining the degree of mortality in patients with trauma admitted to the intensive care units (ICU).
Methods
In this retrospective cross-sectional study, mortality rate was assessed using of SOFA and SAPS III scorings on 100 patients with trauma who admitted to the intensive care units of Alzahra Hospital, Isfahan, Iran, in 2015, according to the inclusion and exclusion criteria. The patients were also divided into two groups of survive and non-survive based on mortality.
Findings: The mean SOFA scores in survive and non-survive groups were 6.20 ±2.97 and 14.16 ± 2.69, and mean SAPS III scores were 35.02 ±12.67 and 60.96± 13.54, respectively. The SOFA and SAPS III scores in the non-survive group were significantly higher than survive group (P
Conclusion
Both SOFA and SAPS III scorings are good criteria for predicting mortality in patients with trauma admitted to the intensive care units. So, the sensitivity and specificity of the two tests were roughly similar, but the convenience and simplicity of the SOFA test were more in determining of mortality rate.
Language:
Persian
Published:
Journal Of Isfahan Medical School, Volume:35 Issue: 455, 2018
Pages:
1620 to 1625
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