Study on Outcome of Patients with Acute Respiratory Failure on Mechanical Ventilation Monitored on SOFA and APACHE II Score
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 10
Abstract
Background: Mechanical ventilation has been a need for the hour these days and there has been an increasing trend in the patients getting admitted in intensive care unit for prolonged duration. About 10% of the patients with mechanical ventilation end up getting it for longer duration.Aim of the study: To study outcome of patients with acute respiratory failure on mechanical ventilation monitored on SOFA and APACHE II score.Materials and methods: The present study is a prospective observational clinical study. It was conducted at Dr. D.Y. Patil Hospital and Research Centre, Kolhapur, Maharashtra, India. The study duration was from September 2016 to August 2018. Total 50 patients admitted in ICU of Dr. D.Y. Patil Hospital during study period and whoever put on ventilator was taken as subjects.Procedure include three parts i.e., brief history, physical examination and collected lab values of patients on first day which ventilator support was given.Results: At end of follow up period 30% patients survived. Proportion of non-survivors was significantly more than of survivors. The maximum mean SOFA score observed in age-group of 31-40, followed by age-group 51-60 and age-group 71-80. Maximum mean APACHE II score was observed in age-group of 71-80 followed by age-group 51-60 and 61-70. Conclusion: From the results of present study, we conclude that SOFA score ≥ 8 and/ APACHE II score ≥ 10 were strong predictors of mortality in patients on mechanical ventilation in acute respiratory failure.
Authors and Affiliations
Rajendra R. Mane, Lakhbir Singh
Keywords
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