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[The use of severity indexes to estimate the risk of death in Intensive Care]
Lilian Carvalho da Silva1, Lilia de Souza Nogueira, Cristina Helena Costanti Settervall
1Pronto-Socorro, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil. licarsil@yahoo.com.br
Unlabelled:
The Simplified Acute Physiology Score II (SAPS II) and Logistic Organ Dysfunction System (LODS) are instruments used to classify Intensive Care Unit (ICU) inpatients according to the severity of their condition and risk of death, and evaluate the quality of nursing care. The objective of this study is to evaluate and compare the performance of SAPS II and LODS to predict the mortality of patients admitted to the ICU. The participants were 600 patients from four ICUs located in São Paulo, Brazil. Receiver Operator Characteristic (ROC) curves were used to compare the performance of the indexes.
Results:
The areas under the ROC curves of LODS (0.69) and SAPS II (0.71) indicated moderate discriminatory capacity to identify death or survival. No statistically significant differences were found between these areas (p=0.26). In conclusion, there was equivalence between SAPS II and LODS to estimate the risk of death of ICU patients.
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