Are scoring systems sufficient for predicting mortality due to sepsis in the emergency department?
| Autor: | Ozlem Guneysel, Fatma Saridogan, Merve Gunes Ozaydin, Vehbi Ozaydin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
MEDS SAPSII Scoring systems Article Sepsis 03 medical and health sciences 0302 clinical medicine Intensive care Septic shock Medicine SOFA 030212 general & internal medicine Simplified Acute Physiology Score Intensive care medicine Receiver operating characteristic business.industry Organ dysfunction lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine Emergency department lcsh:RC86-88.9 medicine.disease Emergency medicine Lactate Observational study medicine.symptom business |
| Zdroj: | Turkish Journal of Emergency Medicine, Vol 17, Iss 1, Pp 25-28 (2017) Turkish Journal of Emergency Medicine |
| ISSN: | 2452-2473 |
| Popis: | Objectives: Scoring systems have been used to risk stratify in intensive care units (ICU), but not routinely used in emergency departments. The aim of this study was to determine accuracy for predicting mortality in emergency medicine with Sequential Organ Failure Assessment (SOFA), Mortality in ED Sepsis (MEDS) score and Simplified Acute Physiology Score (SAPSII). Methods: This is a prospective observational study. Patients presenting with evidence of sepsis were all included. SAPSII, MEDS, and SOFA scores were calculated. Analysis compared areas under the receiver operator characteristic (ROC) curves for 28-day mortality. Results: Two hundred patients were included; consisting of 31 (14.3%) septic shock. 138 (69%) severe sepsis and 31 (15.5%) infection without organ dysfunction. 53 (26.5%) patients died within 28 days.Area under the ROC curve for mortality was 0.76 for MEDS (0.69–0.82), 0.70 for SAPSII (0.62–0.78); and 1.68 for SOFA (0.60–0.76) scores. Pair wise comparison of AUC between MEDS, SAPSII, SOFA and Lactate were not significant. Conclusion: According to our results; SOFA, SAPSII and MEDS were not sufficient to predict mortality. Also this result, MEDS was better than other scoring system. Keywords: Sepsis, Septic shock, Scoring systems, SOFA, SAPSII, MEDS, Lactate, Emergency medicine |
| Databáze: | OpenAIRE |
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