Scoring Systems in Assessing Survival of Critically Ill ICU Patients

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Ana D SekulicAleksandra N Ilic

Abstract

The aim of this study was to determine which of the most commonly used scoring systems for evaluation of critically ill patients in the ICU is the best and simplest to use in our hospital. This prospective study included 60 critically ill patients. After admittance to the ICU, APACHE II, SAPS II, and MPM II0 were calculated. During further treatment in the ICU, SOFA and MPM II were calculated at 24 h, 48 h, and 72 h and 7 days after admittance using laboratory and radiological measures. In comparison with survivors, non-survivors were older (p<0.01) and spent significantly more days on mechanical ventilation (p<0.01). ARDS was significantly more common in patients who survived compared to those who did not (chi-square=7.02, p<0.01), which is not the case with sepsis (chi-square=0.388, p=0.53). AUROC SAPS II was 0.690, and is only slightly higher than the other 2 AUROC incipient scoring systems, MPM II and APACHE II (0.654 and 0.623). The APACHE II has the highest specificity (81.8%) and MPM II the highest sensitivity (85.2%). MPM II(7day) AUROC (1.0) shows the best discrimination between patients who survived and those who did not. MPM II(48) (0.836), SOFA(72) (0.821) and MPM II(72) (0.817) also had good discrimination scores. ...Continue Reading

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Citations

Jun 24, 2017·World Neurosurgery·Ross-Jordon S ElliottAli Seifi
Mar 24, 2016·Therapeutic Advances in Neurological Disorders·Lukas GrassnerJohann Sellner
Aug 30, 2018·Clinical Chemistry and Laboratory Medicine : CCLM·Chiara BelliaMarcello Ciaccio
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Nov 5, 2021·Journal of Medical Systems·Nino FijačkoGregor Štiglic

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