A study on the trend of Modified Sequential Organ Failure Assessment ability changes to predict the sequel of patients in internal critical care units

In most of studies, Modified Sequential Organ Failure Assessment (MSOFA) was used in admission time of patients in intensive care units, while its changes in the value of the scores have been underestimated during the patients’ hospitalization. So, this study was purposed to detect the trend of mean changes and the ability of MSOFA to predict the sequel of patients in internal critical care units.

In a prospective analytical descriptive study, 346 medical patients of intensive care units of Imam Reza hospital in Mashhad city (Iran) were monitored. Data collection tool was MSOFA check list. Information of each patient was collected and recorded for 12 days.

During 12 days of study, the progression of the mean scores of MSOFA was indicated an increasing and decreasing trend for patients who died and discharged respectively. Conspicoiusly, the trend of changes in area under the ROC curve also showed that modified SOFA had more ability in recognition of ill patients and detection of sequel of them in the days after the admission of patients in the intensive care units.

Ability of MSOFA in detection of sequel of medical patients in intensive care units was increased with duration of hospitalization of them. Thus, it was suggested that the daily MSOFA scores were calculated and recorded in addition to other care and treatment measurements. Also, trend of MSOFA scores during hospitalization, especially scores of last days, can use as decision making index about deterioration of patients in intensive care units