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ISSN 2448-8909 (Print)

2002, Number 5

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Med Crit 2002; 16 (5)

Scale of multiple organ failure dysfunction: Correlation with a modified scale

Huerta TJ, Casas TE, Cañada LM

Language: Spanish
References: 17
Page: 159-164
PDF size: 71.44 Kb.


ABSTRACT

Objective: To observe the correlation between the mea-surements of the punctuation of multiple organic dys-functions in the traditional form and the form recently modified. Design: Observational prospective study. Setting: A multidisciplinary critical care unit. Patients: Eleven patients with mechanical ventilation support in more than 48 hours. Interventions: None. Measurements and main results: Lactic acid in blood was measured (2.3 ± 1.7) and APACHE II calculated (25 ± 12 points), MODSAL (9 ± 5 points) and MODSFAP (8.9 ± 5 points). The cardiovascular component with MODSAL was of 0.9 ± 1.4 points and for the MODSFAP of 0.8 ± 0.4 points. The correlation coefficient between MODSAL and MODSFAP was significant (r = 0.97; r2 = 0.94; IC 95% 5.954-11.864 and 5.964-12.036 respectively; p = 0.97). For the cardiovascular component the correlation between the two forms to apply MODS was; r = 0.33 and r2 = 0.11; p = 0.84. Important differences were observed in the measured punctuation and the capacity to discri-minate cardiovascular failure when applying both MODS in patients with chronic cardiovascular pathology and complex arrhythmias. Conclusion: The correlation coefficient when calculating the punctuation of multiple organic dysfunctions with the original form and the form recently modified gives similar results. Nevertheless, in the patients with myocardial damage and complex arrhythmias the original MODS can underestimate the presence of cardiovascular failure.


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