A Study of Significance of Serial Sofa Scores in Predicting Prognosis in ICU Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: Emergency physicians constantly have to choose the most accurate therapeutic plan for the patients based on the severity and prognosis of the disease andalso deal with the worries and concerns of the patients’ relatives. Sequential Organ Failure Assessment (SOFA) is one of the scoring systems used for assessing the severity of disease in critically ill patients and predicting their outcome.It is based on evaluating the function of six vital organs. Aim: The present study was aimed to assess the ability of SOFA score to predict mortality in the ICU of a tertiary care hospital in central Maharashtra. ResultsIn our study the mean SOFA score correlated most closely with mortality (as p<0.05), followed by the highest SOFA score, followed by Δ-SOFA 48-0 score.The mean SOFA score had a better prognostic value than the other SOFA derived variables. Discussion: SOFA scoring system is easy to use and evaluates the status of the mentioned organs systematically and continuously during hospitalization. Conclusion: Knowledge of the trends in SOFA score over time could facilitate decision making regarding the appropriateness of instituting organ support.
Authors and Affiliations
Dr. Kunal Mahajan, (Dr. ) Arun Tyagi, Dr. Marcia Waran, (Dr. ) A. K. Srivastava
Keywords
Related Articles
- EP ID EP557894
- DOI 10.9790/0853-1803142530.
- Views 70
- Downloads 0
Effective Use of Generalized Equivalent Uniform Dose-Based Optimization on Dose-Volume Objectives in Volumetric Modulated Arc (VMAT) Radiation Therapy for Prostate Cancer
High Energy Radiation causes most damage to the rapidly dividing cells, therefore it is useful in treatment of cancer because tumor cells divide extreme rapidly. (Several mechanisms can be used to deliver radiations to t...
Bladder Exstrophy: A rare case report
The bladder exstrophy (BE) represents an anterior midline defect with variable expression comprising a spectrum of anomalies involving the abdominal wall, pelvis, urinary tract, genitalia, and occasionally the spine and...
Psychiatric Illness Following Child Birth – Are There Any Predictors?
.
A Retroperitoneal Hydatid Cyst Fistulized In A Right Colic Tumor: Rare Complication Of Hydatid Disease And Exceptional Association.
The Fistulization Of Hydatid Cysts In Neighboring Organs Is A Known Complication, Especially Of Bile Ducts And Bronchi. Fistulization In The Hollow Organs Remains Rare. The Particularity Of Our Case Is The Rupture Of The...
Mortality Among Patients Admitted To Intensive Care Unit On Weekends And Holidays Compared With Weekdays
The first few hours after intensive care unit admission, are crucial to patient outcome. The availability and quality of personnel and technology are often different during weekday as compared to weekends and holidays. S...