Accuracy of Sequential Organ Failure Assessment (SOFA) scoring in clinical practice
| Autor: | Marja Hynninen, Minna Bäcklund, Minna Tallgren |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry Sedation Glasgow Coma Scale 030208 emergency & critical care medicine General Medicine Gold standard (test) Intensive care unit Surgery law.invention Clinical Practice 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology law Anesthesia Intensive care Severity of illness medicine medicine.symptom business Kappa |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 53:39-45 |
| ISSN: | 0001-5172 |
| Popis: | BACKGROUND The Sequential Organ Failure Assessment (SOFA) score is used to quantify the severity of illness daily during intensive care. Our aim was to evaluate how accurately SOFA is recorded in clinical practice, and whether this can be improved by a refresher course in scoring rules. METHODS The scores recorded by physicians in a university hospital intensive care unit (ICU) were compared with the gold standard determined by two expert assessors. Data concerning all consecutive patients during two 6-week-long observation periods (baseline and after the refresher course) were compared. RESULTS SOFA was accurate on 75/158 (48%) patient days at baseline. The cardiovascular, coagulation, liver, and renal component scores showed excellent accuracy (>or=82%, weighted kappa >or=0.92), while the neurological score showed only moderate (70%, weighted kappa 0.51) and the respiration score showed good accuracy (75%, weighted kappa 0.79). After the refresher course, the number of >or=2 point errors decreased (P |
| Databáze: | OpenAIRE |
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