Validation of the «Sequential Organ Failure Assessment» score with modified cardiovascular component in the Intensive Care Unit of the San Angel Inn Universidad Hospital

Enrique Monares Zepeda; Job Heriberto Rodríguez Guillén; Alberto Valles Guerrero; Carlos Alfredo Galindo Martín; Edgar José Corrales Brenes; Alejandro Suárez Cruz

2016, Number 5

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Med Crit 2016; 30 (5)

Validation of the «Sequential Organ Failure Assessment» score with modified cardiovascular component in the Intensive Care Unit of the San Angel Inn Universidad Hospital

Monares ZE, Rodríguez GJH, Valles GA, Galindo MCA, Corrales BEJ, Suárez CA

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Language: Spanish
References: 23
Page: 319-323
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ABSTRACT

Introduction: SOFA score is a widely used tool in the intensive care units. However, since its validation over 20 years ago, its parameters have not been changed, while the medical advances and new evidence force us to make adjustments.
Objective: Cardiovascular modified SOFA score validation in a mixed intensive care unit.
Material and methods: A retrospective observational study that included patients admitted to the intensive care unit from August 1, 2014 to June 30, 2015.
Results: A total of 57 patients were included, with a mean age of 65 (± 18) and a total mortality of 24.5%. The next cutoff points were obtained by ROC curve analysis: APACHE II = 20; SOFA = 6; mCV-SOFA = 6; mCV-SOFA without lactate = 6; with the following areas under the curve: 0.76 (p = 0.003); 0.78 (p = 0.001); 0.89 (p ‹ 0.001); 0.89 (p ‹ 0.001), respectively. Basal lactate, lactate at 24 hours and lactate depuration showed no significant difference (p › 0.05).
Conclusion: In this population, the SOFA score with cardiovascular modification showed more sensitivity to detect mortality compared with the original score. Therefore, its use could have a better performance in detecting the risk of death in critically ill patients.

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