Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Comparison of Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation Iii Scoring Systems on Detection Prognosis of Mortality in Patients With Trauma Admitted to the Intensive Care Unit Publisher



Kashefi P1 ; Abbasi S1 ; Fahim M2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Anesthesiology and Critical Care Research Center AND Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2019


Abstract

Background: So far, several scoring systems have been used to predict the prognosis of patients admitted to intensive care unit (ICU). Sequential organ failure assessment (SOFA) and acute physiology and chronic health evaluation III (APACHE III) are two of these scoring systems. In this study, these two scoring systems were compared in patients with trauma hospitalized in ICU. Methods: In this retrospective cross-sectional descriptive study, 100 patients were randomly selected from those who admitted to the ICU of Alzahra hospital in Isfahan, Iran in, during 2016-2017, and divided into two groups of living and dead. Demographic and clinical data and laboratory results were extracted and analyzed from patient medical files. Findings: The scores calculated by two scoring systems were significantly higher in the dead group than the living group. There was a significant difference between the two groups based on the qualitative scores of the SOFA system. Based on the receiver operating characteristic (ROC) curve, the sensitivity and the specificity was 90.32% and 94.20% for SOFA, and 90.32% and 86.96% for APACHE III, respectively. Conclusion: APACHEIII and SOFA scoring systems are with high sensitivity and the specificity to predict the prognosis of patients with trauma hospitalized in ICU, and cannot be considered superior to another. The simplicity of the SOFA in the calculation may make the assessment easier and less time-consuming. © 2019, Isfahan University of Medical Sciences(IUMS). All rights reserved.
Related Docs
View other Related Docs
1. Comparison of Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation Ii Scoring Systems on Detection Prognosis of Mortality in Patients With Trauma Admitted to the Intensive Care Unit, Journal of Isfahan Medical School (2018)
2. The Precision of Mortality Prediction by a Novel Checklist (M Score) Compared With Well-Known Scoring Systems in Non-Trauma Patients in Intensive Care Unit, Journal of Isfahan Medical School (2019)
3. Comparison of the Accuracy of Two Methods on Detection of the Prognosis of Mortality in Patients With Trauma Admitted to the Intensive Care Units of Alzahra Hospital, Isfahan, Iran, in 2015, Journal of Isfahan Medical School (2018)
4. The Use of Infection Probability Score and Sequential Organ Failure Assessment Scoring Systems in Predicting Mechanical Ventilation Requirement and Duration, Ulusal Travma ve Acil Cerrahi Dergisi (2009)
5. Comparison of Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation Iii Scoring Systems in Prediction of Mortality in Non-Traumatic Patients Admitted to the Intensive Care Unit, Journal of Isfahan Medical School (2018)
6. Comparison of Infection Probability Score, Apache Ii, and Apache Iii Scoring Systems in Predicting Need for Ventilator and Ventilation Duration in Critically Ill Patients, Archives of Iranian Medicine (2007)
7. Comparison of Simplified Acute Physiology Score-Iii and Mortality Probability Model-Iii in Trauma Patients, Journal of Isfahan Medical School (2019)
8. Do C-Reactive Protein and Body Mass Index Predict Duration of Mechanical Ventilation in Critically Ill Trauma Patients?, Ulusal Travma ve Acil Cerrahi Dergisi (2008)
Experts (# of related papers)
View all Related Experts
Saeed Abbasi (10)
Parviz Kashefi (8)
Other Related Docs
9. Physiologic Scoring Systems Versus Glasgow Coma Scale in Predicting In-Hospital Mortality of Trauma Patients; a Diagnostic Accuracy Study, Archives of Academic Emergency Medicine (2021)
10. Predicting Outcomes in Organophosphate Poisoning Based on Apache Ii and Modified Apache Ii Scores, Human and Experimental Toxicology (2007)
11. Comparison of Nine Trauma Scoring Systems in Prediction of Inhospital Outcomes of Pediatric Trauma Patients: A Multicenter Study, Scientific Reports (2024)
12. Prognostic Utility of Shock Index and Modified Shock Index on Long-Term Mortality in Acute Decompensated Heart Failure; Persian Registry of Cardiovascular Disease/Heart Failure (Prove/Hf) Study, Acta Cardiologica (2023)
13. Applicability of Different Scoring Systems in Outcome Prediction of Patients With Mixed Drug Poisoning-Induced Coma, Indian Journal of Anaesthesia (2011)
14. Utilizing Injury Severity Score, Glasgow Coma Scale, and Revised Trauma Score for Trauma-Related In-Hospital Mortality and Icu Admission Prediction; Originated From 7-Year Results of a Nationwide Multicenter Registry, Frontiers in Emergency Medicine (2024)
15. Prognostic Value of Shock Index, Modified Shock Index, and Age-Adjusted Derivatives in Prediction of In-Hospital Mortality in Patients With Acute Decompensated Heart Failure: Persian Registry of Cardiovascular Disease/Heart Failure Study, Anatolian Journal of Cardiology (2022)
16. Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?, Frontiers in Emergency Medicine (2024)
17. The Impact of Admission Hyperglycemia or Hypoalbuminemia on Need Ventilator, Time Ventilated, Mortality, and Morbidity in Critically Ill Trauma Patients, Ulusal Travma ve Acil Cerrahi Dergisi (2009)
18. Clinical Risk Assessment in Intensive Care Unit, International Journal of Preventive Medicine (2013)
19. Association of Systemic Complications With Mortality in Coronavirus Disease of 2019: A Cohort Study on Intensive Care Unit Patients, Journal of Research in Medical Sciences (2022)
20. Lactate/Albumin Ratio: An Early Prognostic Marker in Critically Ill Patients, American Journal of Emergency Medicine (2020)
21. Evaluation of the Relationship Between Serum Level of Selenium at Arrival to Intensive Care Unit With Duration of Mechanical Ventilation, Mortality and Inflammatory Factors in Multiple Trauma Patients, Journal of Isfahan Medical School (2016)
22. Effect of Atorvastatin on Delirium Status of Patients in the Intensive Care Unit: A Randomized Controlled Trial, Archives of Medical Science (2021)
23. The Association Between Platelet-To-Lymphocyte Ratio With Mortality Among Patients Suffering From Acute Decompensated Heart Failure, BMC Cardiovascular Disorders (2021)
24. Acute Kidney Injury After Successful Cardiopulmonary Re-Suscitation; Risk Factors and Prognosis: A Retrospective Cross-Sectional Study, Frontiers in Emergency Medicine (2022)
25. Prevalence of Acute Kidney Injury in Patients With Sepsis in Isfahan, Iran, Translational Research in Urology (2021)
26. Epidemiologic and Demographic Aspects and Causes of Hospitalization and Mortality in Patients Admitted to Intensive Care Units of Alzahra Hospital, Isfahan, Iran, During 2011-2015, Journal of Isfahan Medical School (2017)
27. Assessment of Pneumonia Severity Index in Patients With Community-Acquired Pneumonia Admitted to Alzahra Hospital, Isfahan, Iran, Journal of Isfahan Medical School (2012)
28. Research Paper Mortality of Road Traffic Injured Patients Admitted to a Hospital in Isfahan, Iran, Using the Gap Scoring System, Health in Emergencies and Disasters Quarterly (2025)
29. Clinico-Epidemiological Analysis of Adult Patients With Acute Poisoning, International Journal of Medical Toxicology and Forensic Medicine (2021)
30. Evaluation of Accuracy of Euroscore Risk Model in Prediction of Perioperative Mortality After Coronary Bypass Graft Surgery in Isfahan, Iran, Journal of Research in Medical Sciences (2011)
31. Reliability and Validity of the Persian Version of Intensive Care Delirium Screening Checklist in Detection of Delirium in Intensive Care Units, Journal of Isfahan Medical School (2016)
32. Intensive Care Information System Impacts, Acta Informatica Medica (2013)
33. Feasibility Study and Design of the Icu Infection Registry System for Patients Admitted to the Alzahra University Hospital in Isfahan: A Methodology Study, Advanced Biomedical Research (2023)
34. Patterns and Outcomes of Patients With Abdominal Injury: A Multicenter Study From Iran, BMC Emergency Medicine (2024)
35. The Prediction of Mortality Influential Variables in an Intensive Care Unit: A Case Study, Personal and Ubiquitous Computing (2023)
36. Practical Strategies to Reduce Morbidity and Mortality of Natural Catastrophes: A Retrospective Study Based on Bam Earthquake Experience, Archives of Iranian Medicine (2009)
37. Evaluation and Comparison of the Results of the Alvarado Scoring System With Acute Inflammatory Response Score in the Diagnosis of Acute Appendicitis Based on the Pathological Evidence, Immunopathologia Persa (2024)
38. The Advantages of “Closed” Type Management in Intensive Care Units, Trends in Anaesthesia and Critical Care (2024)
39. Mortality Rate and Risk Factors in Pediatric Intensive Care Unit of Imam Hossein Children's Hospital in Isfahan: A Prospective Cross-Sectional Study, Advanced Biomedical Research (2023)
40. Time Indices of Emergency Medical Services, Trauma Monthly (2017)
41. Low Plasma Vitamin D Is Associated With Increased 28-Day Mortality and Worse Clinical Outcomes in Critically Ill Patients, BMC Nutrition (2024)
42. Revised Risk Priority Number in Failure Mode and Effects Analysis Model From the Perspective of Healthcare System, International Journal of Preventive Medicine (2018)
43. Predictive Performance of Qsofa in Confirmed Covid-19 Patients Presenting to the Emergency Department, Tzu Chi Medical Journal (2023)
44. Evaluation of Pain Intensity in Patients Under Mechanical Ventilation in Intensive Care Unit Based on the Critical-Care Pain Observation Tool (Cpot), Journal of Isfahan Medical School (2019)
45. The Association of Microalbuminuria and Duration of Mechanical Ventilation in Critically Ill Trauma Patients, Ulusal Travma ve Acil Cerrahi Dergisi (2009)
46. Evaluation of Systemic Inflammatory Response Syndrome (Sirs) Score As a Predictor of Mortality in Trauma Patients, European Journal of Trauma (2006)
47. Impact of Shock Index (Si), Modified Si, and Age-Derivative Indices on Acute Heart Failure Prognosis; a Systematic Review and Meta-Analysis, PLoS ONE (2024)
48. Physiologic Scoring Systems in Predicting the Covid-19 Patients’ One-Month Mortality; a Prognostic Accuracy Study, Archives of Academic Emergency Medicine (2022)
49. Acute Kidney Injury Risk Factors for Icu Patients Following Cardiac Surgery: The Application of Joint Modeling, Trauma Monthly (2016)
50. Absolute Mortality Risk Assessment of Covid-19 Patients: The Khorshid Covid Cohort (Kcc) Study, BMC Medical Research Methodology (2021)