Can we predict mortality in patients with necrotizing fasciitis using conventional scoring systems?
| Autor: | Necdet Fatih Yaşar, Ugur Bilge, Ercument Pasaoglu, Mustafa Ufuk Uylaş, Tarık Çağa, Bartu Badak, Enver Ihtiyar, Setenay Oner |
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| Rok vydání: | 2017 |
| Předmět: |
030213 general clinical medicine
medicine.medical_specialty Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine medicine Health Status Indicators Humans In patient Fasciitis Necrotizing Simplified Acute Physiology Score Fasciitis APACHE Retrospective Studies APACHE II business.industry Mortality rate 030208 emergency & critical care medicine Retrospective cohort study Emergency department Prognosis medicine.disease humanities Anesthesiology and Pain Medicine SAPS II Emergency medicine Emergency Medicine Surgery business |
| Zdroj: | Turkish Journal of Trauma and Emergency Surgery. |
| ISSN: | 1306-696X |
| DOI: | 10.5505/tjtes.2016.19940 |
| Popis: | Background This study compared the predictive accuracy of four scoring systems, namely Acute Physiology and Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA), Simplified Acute Physiology Score II (SAPS II), and Mortality in Emergency Department (MEDS), for estimating prognosis in patients with necrotizing fasciitis. Methods Seventy-four patients who presented with necrotizing fasciitis were retrospectively examined. The ability of the scoring systems to predict mortality was assessed by comparing the estimated mortality rates in mortality groups (survivors/non-survivors), and mortality rates among survivors and non-survivors with an estimated mortality of >10%, 30%, and 50% in the scoring systems were compared in pairs. Results Estimated mortality rates in the survivor and non-survivor groups were different for all the scoring systems. The estimated mortality rates of APACHE II and SAPS II were much closer to the actual mortality rates than the other two scoring systems. When the predicted mortality rates were analyzed as limits for a mortality risk, the predicted mortality rate by APACHE II was superior to that by SAPS II. Conclusion The studied scoring systems had significantly higher predicted mortality rates in non-survivors than in survivors; however, they all underestimated the mortality rate. APACHE II and SAPS II were relatively superior for estimating mortality in patients with necrotizing fasciitis. APACHE II rather than the other scoring systems should be currently used. |
| Databáze: | OpenAIRE |
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