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2014, Number 4

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Rev Cub Med Int Emerg 2014; 13 (4)

Valoration of a scale of multiorganic disfunction as a presage of mortality in an intensive care

Larrondo MHM, Martínez AJL, León PDO, Gutiérrez RÁR

Language: Spanish
References: 32
Page: 425-439
PDF size: 327.10 Kb.


ABSTRACT

Introduction: The Sequential Organ Failure Assessment describes the degree of disfunction of organs in time, and evaluates the morbility of the septic patients, it could be applied in not septic patient.
Objective: Evaluating the utility as a pronostic scale of mortality of the Sequential Organ Failure Assessment (SOFA).
Method: Longitudinal and prospective study with 303 patients of the UCI8b of the Hospital Hermanos Ameijeiras (February/ 2010-agosto/ 2011). The scales APACHE II, SAPS-3 and SOFA were applied to the admission. The association between SOFA with the state to the egress was valued with the test [t-Student], with a level of p‹ 0,05. It was evaluated the predictor power of mortality by means of the area under the curve ROC of the scales. For the correlation between these, the index of Pearson was used, considering that strong correlation between them exists if the value of the probability is minor of 0,01.
Results: The average age: 59.7 years, average stay: 9.8 days; mortality: 39,9% it was ventilated the 38.3% of the patients and the 64% presented any stay of the sepsis. It was found difference between the half of the SOFA for alive and dead (p= 0.000). The area under the curves ROC was: SAPS-3 (0,766); APACHE-II (0,772); SOFA (0,782). The points of court for SOFA: 2,5-4,5 points. The combination of SOFA/ APACHE II, showed the greatest coefficient of correlation.
Conclusions: It was proved the utility of the SOFA as a presage of mortality. The used scales presented an equivalent predictive value. The association of II-SOFA APACHE obtained a greater predictive value.


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