Prediction of mortality in ICU patients: A comparison between the SOFA score and other indicators

Author:

Shafigh Navid1,Hasheminik Morteza2,Shafigh Elnaz3,Alipour Haleh4,Sayyadi Shahram5,Kazeminia Neda6,Khoundabi Batoul78,Salarian Sara9

Affiliation:

1. Department of Anesthesiology and Critical Care Medicine, School of Medicine, Masih Daneshvari Hospital Shahid Beheshti University of Medical Sciences Tehran Iran

2. Department of Nursing, Sabzevar Branch Islamic Azad University Sabzevar Iran

3. Operative Dentistry Department, Faculty of Dentistry AJA University of Medical Sciences Tehran Iran

4. Department of Pediatric Pulmonology, Mofid Children's Hospital Shahid Beheshti University of Medical Sciences Tehran Iran

5. Department of Anesthesia, Imam Hossein General Hospital, Anesthesiology Research Center Shahid Beheshti University of Medical Sciences Tehran Iran

6. Clinical Pharmacy Specialist, Clinical Trials and Pharmacovigilance Department Food and Drug Administration Tehran Iran

7. Iranian Red Crescent Society Tehran Iran

8. Research Center for Health Management in Mass Gathering Red Crescent Society of the Islamic Republic of Iran Tehran Iran

9. Anesthesiology and Fellowship Critical Care Department, School of Medicine, Emam Hosein Hospital Shahid Beheshti University of Medical Sciences Tehran Iran

Abstract

AbstractBackgroundThe intensive care unit (ICU) is the most important department for critically ill patients. Different scoring systems are used to assess the severity of the disease and evaluate organ failure during the patient's stay in ICU.AimsOur purpose was to evaluate the C‐reactive protein/Albumin (CRP/Alb) ratio and SOFA score as indicators of 28‐day mortality in ICU patients.Materials and MethodA total of 55 patients were enrolled in this study. CRP and CRP/Alb rates, SOFA scores, and demographic data were used to evaluate 28‐day mortality in a referral hospital.ResultsSurvived and dead patients were significantly different in the CRP, CRP/Alb rates, and SOFA scores. However, in the adjusted model, the SOFA score was the predictor of 28‐day mortality in ICU patients.ConclusionSOFA score was also confirmed as a predictor of mortality in ICU patients. Besides, the role of CRP and CRP/Alb in the prediction of disease prognosis or mortality requires further studies.

Publisher

Wiley

Subject

Critical Care Nursing

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