ORIGINAL ARTICLE
Year : 2016  |  Volume : 10  |  Issue : 2  |  Page : 168-173

Evaluation of Acute Physiology and Chronic Health Evaluation II and sequential organ failure assessment scoring systems for prognostication of outcomes among Intensive Care Unit's patients


1 Faculty Member, Department of Nursing, North Khorasan University of Medical Sciences, North Khorasan Province, Iran
2 Faculty Member, Department of Nursing, Islamic Azad University, Bojnord, North Khorasan Province, Iran

Correspondence Address:
M Hosseini
Department of Nursing and Midwifery, First Floor, North Khorasan University of Medical Sciences, Bojnourd, North Khorasan Province
Iran
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.168817

Rights and Permissions

Context: Acute Physiology and Chronic Health Evaluation II (APACHE II) and sequential organ failure assessment (SOFA) are of the most validated and prevalent general scoring systems over the world. Aims: The aim of the current study was to evaluate APACHE II and SOFA ability in predicting the outcomes (survivors, nonsurvivors) in surgical and medical Intensive Care Unit (ICU). Setting and Design: This was an observational and prospective study of 300 consecutive patients admitted in surgical and medical ICU during a 6-month period. Materials and Methods: APACHE II and SOFA scores and demographic characteristics were recorded for each patient separately in the first admission 24 h. Statistical Analysis Used: Receiver operator characteristic (ROC) curves, Hosmer-Lemeshow test, and logistic regression were used in the statistical analysis (95% confidence interval). Results: Data analysis showed a significant statistical difference in APACHE II and SOFA scores between survivor and nonsurvivor patients (P < 0.0001, P = 0.001; respectively). The discrimination power was acceptable for APACHE II and poor for SOFA (area under ROC [AUC] curve: 73.7% (standard error [SE]: 3.2%), 63.4% [SE: 3.6%]; respectively). The acceptable calibration was seen just for SOFA (c2 = 11.018, P = 0.051). Conclusions: Both APACHE II and SOFA showed good predictive accuracy for results in surgical and medical ICUs; however, the SOFA is the choice to select, because of being simpler and easier to record data.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2999    
    Printed57    
    Emailed0    
    PDF Downloaded260    
    Comments [Add]    
    Cited by others 9    

Recommend this journal