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

Language: Spanish
References: 32
Page: 195-200
PDF size: 183.83 Kb.

ABSTRACT

Background: The assessment of the severity of patients with sepsis should be determined using the SOFA (Sequential [Sepsis-Related] Organ Failure Assessment). Aims: To evaluate the utility of the SOFA index as a predictor of severity and mortality in abdominal sepsis. Material and methods: Retrospective, descriptive, during the period from April 2016 to February 2017. The severity was determined using the SOFA scale and compared against APACHE II, Mannheim and mortality. The sample was divided into those with a sofa greater than 4 and those with SOFA less than 3. Results: We included 187 cases, 73 female and 114 male; the main organ that causes abdominal sepsis was the appendix 43%. Mortality 13%. The scores of the scales were placed with an average of APACHE II 10.34 (SD ±), Mannheim 18.50 (SD ± 8.82), SOFA 3.42 (SD ± 1.97). The findings, subjected to statistical verification by the Mann-Whitney test, showed significance among the cases with SOFA greater than 4 points with APACHE greater than 15 (p = 0.001), Mannheim greater than 26 points (p = 0.001) and with mortality (p = 0.001). Conclusion: The SOFA index is a useful indicator to assess the severity of abdominal sepsis.

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