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2018, Número 4

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Rev Hosp Jua Mex 2018; 85 (4)


Utilidad del índice SOFA en sepsis abdominal por peritonitis secundaria

Godínez-Vidal AR, García-Vivanco DM, Montero-García PJ, Martínez-Martínez AR, Gutiérrez-Banda CA, Gracida-Mancilla NI

Idioma: Español
Referencias bibliográficas: 32
Paginas: 195-200
Archivo PDF: 183.83 Kb.


RESUMEN

Introducción: La evaluación de la severidad de los pacientes con sepsis debe determinarse mediante la escala SOFA (Sequential [Sepsis-Related] Organ Failure Assessment). Objetivo: Evaluar la utilidad del índice SOFA como predictor de severidad y mortalidad en sepsis abdominal. Material y métodos: Estudio retrospectivo y descriptivo durante el periodo de abril de 2016 a febrero de 2017. Se determinó la severidad mediante la escala SOFA y se comparó contra APACHE II, Mannheim y la mortalidad. La muestra se dividió en aquéllos con SOFA mayor de cuatro y aquéllos con SOFA menor de tres. Resultados: Se incluyeron 187 casos, 73 femeninos y 114 masculinos; el principal órgano causante de sepsis abdominal fue el apéndice 43%. Mortalidad 13%. Las puntuaciones de las escalas se situaron con una media de APACHE II 10.34 (DE ± 6.37), Mannheim 18.50 (DE ± 8.82), SOFA 3.42 (DE ± 1.97). Los hallazgos sometidos a verificación estadística mediante prueba U de Mann-Whitney mostraron significancia entre los casos con SOFA mayor de cuatro puntos con APACHE mayor de 15 (p = 0.001), Mannheim mayor de 26 puntos (p = 0.001) y con la mortalidad (p = 0.001). Conclusión: El índice SOFA es un indicador útil para evaluar la severidad de la sepsis abdominal.


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