Related Experiment Videos
[The SOFA score in evaluating septic illnesses. Correlations with the MOD and APACHE II score]
1Klinik für Allgemein- und Gefässchirurgie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt/Main.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|November 15, 2000
Summary
The new Sequential Organ Failure Assessment (SOFA) score shows a clear correlation with patient mortality in intensive care units. This sepsis scoring system is reliable and comparable to APACHE II and MOD scores for clinical use.
Area of Science:
- Critical Care Medicine
- Sepsis Research
- Clinical Scoring Systems
Background:
- The Sequential Organ Failure Assessment (SOFA) score was developed in 1994 by a European Society of Intensive Care Medicine working group.
- Sepsis-related diseases require reliable assessment tools for patient management.
Purpose of the Study:
- To compare the newly introduced SOFA score with established scoring systems, APACHE II and MOD.
- To evaluate the SOFA score's correlation with patient mortality in an intensive care unit (ICU) setting.
Main Methods:
- Analysis of data from 874 patients in a surgical ICU using SPSS and MS Excel.
- Receiver-operating characteristic (ROC) analyses were employed to compare the diagnostic performance of the scoring systems.
Main Results:
- A significant correlation was observed between elevated SOFA scores and increased ICU mortality (e.g., SOFA score 3 correlated with 86.7% mortality).
- ROC analyses indicated comparable performance between SOFA (area under curve 0.71), APACHE II (0.73), and MOD (0.77) scores.
Conclusions:
- The SOFA score is a reliable tool for assessing sepsis-related disease severity.
- The SOFA score demonstrates potential utility in the daily routine of intensive care units.