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
Prevalence of Thyroid Disorders in Patients in Tertiary Care in South India: A Prospective Study
Iodine is an important micro-nutrient required for human nutrition. Iodine deficiency disorders (IDDs) are one of the major worldwide public health problems of today which causes wide spectrum of disabilities. It include...
Limited Mouth opening causes and its Treatment modalities among Peoples in Al-khoms, Libya
Reduced mouth opening is a common clinical problem and many individuals experience it at least once in his or her life and most dental practitioners see patients with restricted mouth opening quite often. It can occur du...
Assessment of Psychological Distress in patients with cancer and its clinical significance.
Background:Although distress is common among cancer patients, the current standard of care does not include consistent distress screening.Also based on evidence indicating that clinically significant distress often goes...
Comparision of Healing of Periapical Lesion with Different Intracanal Medicament Using Mineral Trioxide Aggregate as Apical Barrier
Twelve maxillary central incisors in patients aged between 15 to 30 years who suffered a traumatic injury were selected. All patients presented with incomplete development of the root apex. Conventional access cavity was...
Risk Factors Analysis and Microbial Etiology of Surgical Site Infections Following Lower Segment Caesarean Section
Lower segment caesarean section (LSCS) is a common mode of delivery now and surgical site infection is the third most common infectious complication in these patients. Aim & objectives: This study was planned with this b...