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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

DELGADO FERNANDEZ, Rebeca Iracema et al. Predictive value of SOFA score in seriously ill surgical patients. AMC [online]. 2015, vol.19, n.5, pp.441-449. ISSN 1025-0255.

Background: SOFA score (Sequential Organ Failure Assessment score) is a simple system to determine the dysfunction or failure of fundamental organs. Objective: to determine the predictive value of SOFA in the mortality of surgical patients. Method: a descriptive and prospective study was conducted in 173 surgical patients admitted in the Intensive Care Unit of Joaquín Albarrán Domínguez Hospital during the year 2013. Results: SOFA score, applied 24 and 48 hours after the patients were admitted, showed a high discriminating power (values of 0, 85 and 0, 95 under the ROC curve, respectively) and an adequate rate of success with a 76, 9 % for a cut-point >= 2 and a 91, 4 % for a cut-point >= 3 respectively. Conclusions: SOFA score was useful for predicting the mortality of surgical patients mainly 48 hours after the patients were admitted when there was a better rate of success and discriminating power.

Keywords : MORTALITY; SCALES; PREDICTIVE VALUE OF TESTS; ADULT; EPIDEMIOLOGY, DESCRIPTIVE.

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