Can APACHE II, SOFA, ISS, and RTS Severity Scores be Used to Predict Septic Complications in Multiple Trauma Patients?
| Autor: | Cristina Petrișor, Constantin Ciuce, Sebastian Tranca, Natalia Hagău |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
APACHE II business.industry RC86-88.9 030208 emergency & critical care medicine Medical emergencies. Critical care. Intensive care. First aid medicine.disease Intensive care unit intensive care unit law.invention Sepsis sepsis 03 medical and health sciences 0302 clinical medicine trauma law Emergency medicine Medicine 030212 general & internal medicine Trauma victims business Cutoff score Research Article |
| Zdroj: | The Journal of Critical Care Medicine, Vol 2, Iss 3, Pp 124-130 (2016) |
| ISSN: | 2393-1817 |
| Popis: | Background: Physiological composite scores are used to predict mortality in multiple trauma patients. Sepsis is the leading cause of late mortality in trauma victims brought about by immune suppression due to homeostasis dysregulation. Objective: To determine whether APACHE II, SOFA, ISS and RTS scores can predict the occurrence of sepsis in multiple trauma patients. Methods: APACHE II, SOFA, ISS, and RTS scores were calculated during the first twenty-four hours after the injury for sixty-four adult poly-traumatic patients. The occurrence of infectious complications was investigated over a fourteenday period. The infection-free rates for the multiple trauma patients were considered as end-points in the Kaplan- Meier plot analysis. Results: For SOFA, a cutoff score of 4 points was identified as a predictor of the occurrence of sepsis, with 89% of the patients with SOFA4 were infection-free (p Conclusion: APACHE II, SOFA, ISS, and RTS functional severity scores can predict mortality as well as the occurrence of sepsis in multiple trauma patients. |
| Databáze: | OpenAIRE |
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