DOI: http://dx.doi.org/10.18203/2349-2902.isj20182767

SOFA scoring system in assessing prognosis of critically ill surgical and trauma patients: a prospective study

Mohan Kumar, Chandan C. S.

Abstract


Background: Major trauma, major surgery or sepsis include the bulk of Surgical patients who become critically ill. This relates to significant injury of a single organ system or anatomical part, or multiple injuries, often of varying severity, of different body parts good scoring or predicting system essentially clears this confusion. Predicting the patients’ outcome depends on good scoring system. Scoring systems are composed of degrees of organ dysfunction, organ failure or multiple organ failures, and anatomical derangements which eventually contribute to morbidity and mortality. With the help of such evaluation system. A well-performing ICU prognostic model helps to make meaningful comparison of the hospital’s current performance with the past. But present study focuses on mainly on SOFA score. Sequential organ failure assessment score.

Methods: Scoring systems in assessing prognosis of critically ill surgical and trauma patients - a prospective study was undertaken at MVJ Medical Hospital and Research Hospital, Bangalore after the approval from Ethics Committee. The study was carried out in the period of November 2016 to September 2017 and 50 patients were included in the study.

Results: Studies have shown that in the SOFA scores; cardiovascular, neurological, and respiratory, renal, haematological and hepatic dysfunctions were independent risk factors for mortality.

Conclusions: In this study, extensive study of SOFA score was done from day 1 to the last day. The SOFA score on day 1 was high among non-survivors and survivors which was statistically significant (9.33 v/s 6.62, p<0.001). Also, SOFA score showed significant increasing trend in the first week, especially on first 3 days, which signifies progressive organ dysfunction among non-survivors.


Keywords


Mortality, Scoring systems, SOFA score

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