Can a score derived from the Critical Care Minimum Data Set be used as a marker of organ dysfunction? – a pilot study

Autor: Al-Aloul Mo, Sander Rebecca, Felton Tim W, Dark Paul, Bentley Andrew M
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: BMC Research Notes, Vol 2, Iss 1, p 77 (2009)
Druh dokumentu: article
ISSN: 1756-0500
DOI: 10.1186/1756-0500-2-77
Popis: Abstract Background The aim of this study was to develop a simple organ score derived from the Critical Care Minimum Data Set (CCMDS) to compare with the Sequential Organ Failure Assessment (SOFA) score, a previously validated score of organ dysfunction. Findings The CCMDS collects data regarding the support of seven organ systems. To create a CCMDS derived score each level of organ support was allocated a numerical value. SOFA scores were collected retrospectively from each patient in the study. Data was collected in 50 sequential admissions over the first 5 days of their admission. This generated a total of 147 pairs of data for comparison. Scatter plots and Spearman's rank correlation coefficient suggest a weak positive association between our CCMDS-derived score and the SOFA score. Daily Bland-Altman plots reveal minimal bias between the score but wide limits of agreement. Conclusion Our CCMDS-derived score cannot be regarded as an indicator of severity of organ dysfunction and cannot replace SOFA scores when a daily marker of organ dysfunction is required.
Databáze: Directory of Open Access Journals