Use of the Sequential Organ Failure Assessment score for evaluating outcome among obstetric patients admitted to the intensive care unit

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Shruti JainSharmila Ahuja

Abstract

To evaluate the prognostic value of the Sequential Organ Failure Assessment (SOFA) score among obstetric patients admitted to the intensive care unit (ICU). A prospective study was conducted among 90 consecutive obstetric patients who were admitted to the ICU of Guru Teg Bahadur Hospital, Delhi, India, between October 6, 2010, and December 25, 2011. Maximum SOFA score was calculated for each of the six organ systems. Receiver operating characteristic curves were used to determine critical cutoff values for total, maximum total, and mean total SOFA scores at various time points. Total SOFA score at admission displayed an area under the curve (AUC) of 0.949, a cutoff value of at least 8.5, sensitivity of 86.7%, and specificity of 90.0%. Maximum total SOFA score had an AUC of 0.980, a cutoff value of at least 10.0, sensitivity of 96.7%, and specificity of 90.0%. Mean total SOFA score had an AUC of 0.997, a cutoff value of at least 9.0, sensitivity of 96.7%, and specificity of 96.7%. In terms of discriminatory power for predicting mortality among obstetric patients admitted to the ICU, total SOFA score at admission was the most relevant, simple, and accurate measure.

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Citations

Nov 7, 2016·Obstetrics and Gynecology Clinics of North America·Lauren A Plante
Nov 14, 2018·Critical Care Medicine·Antonio Francisco Oliveira-NetoJosé Guilherme Cecatti
Oct 12, 2019·Journal of Perinatal Medicine·Erdem FadilogluM Sinan Beksac
Mar 8, 2019·Journal of Orthopaedic Surgery and Research·Chia-Peng ChangCheng-Ting Hsiao
Dec 29, 2020·American Journal of Obstetrics and Gynecology·Cesar PadillaMichael R Foley
Nov 10, 2020·Gynécologie, Obstétrique, Fertilité & Sénologie·A RigouzzoUNKNOWN pour le Comité National d’Experts sur la Mortalité Maternelle
Dec 8, 2019·Medicina intensiva·B Jonguitud LópezG C Palacios Saucedo
Oct 12, 2021·American Journal of Perinatology·Angela J StephensBaha M Sibai

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