Comparitive Study of Predicting Prognosis of Obstetric Patient Admitted in Icu By Sofa And Apache Scores
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Aim & objective:- comparative study of predicting prognosis of obstetric patient admitted in icu by sofa and apache scores Methods:- It was a prospective study done on 50 patients in the department of obstetrics and gynecology in Gandhi hospital,Secunderabad, from January 2014 to November 2015. Comparison and analysis between APACHE 1V SCORE and SOFA SCORE for maternal outcome of patients admitted in ICU was done. Results:- In our study , for prediction of outcome in ICU, SOFA score had a sensitivity of 24.3% and specificity of 88.8% whereas for APACHE IV score the sensitivity was 66.6% and specificity was 78.1%. Hence in our study it was evident that APACHE IV score was better for predicting outcome in patients admitted in ICU. Conclusion:- A better scoring system especially applicable to the critically ill obstetric patients in Indian scenario could lead to accurate monitoring of the quality care and risk stratification for the clinical and therapeutic trials. Accurate predictive scores in the ICU,apart from providing aggressive management in those predicted for a poor outcome could lead to better productive utilization of limited resources.
Authors and Affiliations
Dr. Y. Radhika Ganesh, Dr. S. Rani, Dr. L. Lavanya
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