Application of sepsis-related organ failure assessment score in the intensive care units

• Published in: Praxis Medica Vol. 45; no. 3-4; pp. 7 - 13
• Main Authors: Sekulic, Ana, Trpkovic, Sladjana, Pavlovic, Aleksandar, Marinkovic, Olivera, Ilic, Aleksandra
• Format: Journal Article
• Language: English
• Published: Medicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društva 2016
• Subjects: critically ill; intensive care units; scoring systems
• ISSN: 0350-8773
• DOI: 10.5937/pramed1604007S

Evaluation of the SOFA score during their stay in ICU patients is a good prognostic indicator in assessing treatment outcomes. The aim this study is to determine the importance of SOFA score in the evaluation of complications, duration of mechanical ventilation (MV), length of stay in ICU and outcome of patients with sepsis and / or septic shock in the ICU. This one year prospective study included 60 critically ill patients. After admittance to the ICU were calculated APACHE II score, and during further treatment in the ICU, patients were evaluated SOFA score of 24, 48, 72 hours and seven days after admittance. Were observed the length of stay in ICU, duration of MV and survival. Patients in non survivel group were elderly than in the group of survivors, they spent significantly more days on MV and more frequently had septic shock as a complication (63%). The length of stay in ICU was not statistically significant between the two groups, as opposed to duration of MV, where he recorded a statistically significant difference. The best calibration had SOFA7d (0.85), which means it has had the smallest statistically significant discrepancy between the expected and the observed deaths. Score with the best discrimination between non survivel and survivel groups was SOFA7d; AUROC (0981). Our study showed that a daily evaluation of the SOFA in the ICU to predict the onset of complications, duration of MV and length of stay patients in the ICU. SOFA value calculated for 7 days showed the best discrimination and calibrati on power.