Prognostic Performance of Sequential Organ Failure Assessment, Acute Physiology and Chronic Health Evaluation III, and Simplified Acute Physiology Score II Scores in Patients with Suspected Infection According to Intensive Care Unit Type

被引:2
|
作者
Hwang, Sung-Yeon [1 ]
Kim, In-Kyu [2 ]
Jeong, Daun [1 ]
Park, Jong-Eun [1 ]
Lee, Gun-Tak [1 ]
Yoo, Junsang [2 ]
Choi, Kihwan [3 ]
Shin, Tae-Gun [1 ]
Kim, Kyuseok [3 ]
机构
[1] Sungkyunkwan Univ, Samsung Med Ctr, Dept Emergency Med, Sch Med, Seoul 06351, South Korea
[2] Sungkyunkwan Univ, Samsung Adv Inst Hlth Sci & Technol, Dept Digital Hlth, Seoul 06351, South Korea
[3] CHA Univ, CHA Bundang Med Ctr, Sch Med, Dept Emergency Med, Seongnam 13496, South Korea
关键词
sepsis; mortality; organ dysfunction scores; severity of illness index; HOSPITAL MORTALITY; SOFA SCORE; RISK PREDICTION; APACHE-III; SEVERITY; MODEL; VALIDATION; SYSTEMS; SEPSIS; SAPS;
D O I
10.3390/jcm12196402
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We investigated the prognostic performance of scoring systems by the intensive care unit (ICU) type. This was a retrospective observational study using data from the Marketplace for Medical Information in the Intensive Care IV database. The primary outcome was in-hospital mortality. We obtained Sequential Organ Failure Assessment (SOFA), Acute Physiology and Chronic Health Evaluation (APACHE) III, and Simplified Acute Physiology Score (SAPS) II scores in each ICU type. Prognostic performance was evaluated with the area under the receiver operating characteristic curve (AUROC) and was compared among ICU types. A total of 29,618 patients were analyzed, and the in-hospital mortality was 12.4%. The overall prognostic performance of APACHE III was significantly higher than those of SOFA and SAPS II (0.807, [95% confidence interval, 0.799-0.814], 0.785 [0.773-0.797], and 0.795 [0.787-0.811], respectively). The prognostic performance of SOFA, APACHE III, and SAPS II scores was significantly different between ICU types. The AUROC ranges of SOFA, APACHE III, and SAPS II were 0.723-0.826, 0.728-0.860, and 0.759-0.819, respectively. The neurosurgical and surgical ICUs had lower prognostic performance than other ICU types. The prognostic performance of scoring systems in patients with suspected infection is significantly different according to ICU type. APACHE III systems have the highest prediction performance. ICU type may be a significant factor in the prognostication.
引用
收藏
页数:10
相关论文
共 50 条
  • [41] Performance of Simplified Acute Physiology Score 3 in Predicting Hospital Mortality in Emergency Intensive Care Unit
    Ma, Qing-Bian
    Fu, Yuan-Wei
    Feng, Lu
    Zhai, Qiang-Rong
    Liang, Yang
    Wu, Meng
    Zheng, Ya-An
    CHINESE MEDICAL JOURNAL, 2017, 130 (13) : 1544 - 1551
  • [42] ACUTE PHYSIOLOGY AND CHRONIC HEALTH EVALUATION II, PEDIATRIC INDEX OF MORTALITY VERSION 2 AND PEDIATRIC SEQUENTIAL ORGAN FAILURE ASSESSMENT SCORES AS OUTCOME PREDICTORS IN PICU
    Almutawea, L. M.
    Abdulqader, M. S.
    Ahmed, F. H.
    Loni, R. L.
    Fox, G. P.
    PEDIATRIC CRITICAL CARE MEDICINE, 2022, 23 (11)
  • [43] Prediction of Patient Outcome from Acinetobacter baumannii Bacteremia with Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation (APACHE) II Scores
    Chen, Su-Jung
    Chao, Tze-Fan
    Chiang, Mei-Chun
    Kuo, Shu-Chen
    Chen, Liang-Yu
    Yin, Ti
    Chen, Te-Li
    Fung, Chang-Phone
    INTERNAL MEDICINE, 2011, 50 (08) : 871 - 877
  • [44] Acute Physiology and Chronic Health Evaluation II score for the assessment of mortality prediction in the intensive care unit: a single-centre study from Iran
    Bahtouee, Mehrzad
    Eghbali, Seyed S.
    Maleki, Nasrollah
    Rastgou, Vahid
    Motamed, Niloufar
    NURSING IN CRITICAL CARE, 2019, 24 (06) : 375 - 380
  • [45] Intensive care unit support and Acute Physiology and Chronic Health Evaluation III performance in hematopoietic stem cell transplant recipients
    Afessa, B
    Tefferi, A
    Dunn, WF
    Litzow, MR
    Peters, SG
    CRITICAL CARE MEDICINE, 2003, 31 (06) : 1715 - 1721
  • [47] Evaluation of neuro-intensive care unit performance in China: predicting outcomes of Simplified Acute Physiology Score II or Glasgow Coma Scale
    Zhao Xiao-xia
    Su Ying-ying
    Wang Miao
    Zhang Yan
    Ye Hong
    Feng Huan-huan
    Zhang Yun-zhou
    Gao Dai-quan
    Chen Wei-bi
    CHINESE MEDICAL JOURNAL, 2013, 126 (06) : 1132 - 1137
  • [48] Evaluation of the Acute Physiology and Chronic Health Evaluation III in predicting the prognosis of patients admitted to Emergency Department, in need of intensive care unit
    Hatamabadi, Hamid Reza
    Mazandarani, Parvin Darbandsar
    Abdalvand, Ali
    Dolatabadi, Ali Arhami
    Amini, Afshin
    Kariman, Hamid
    Derakhshanfar, Hojjat
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2012, 30 (07): : 1141 - 1145
  • [49] Validation of acute physiology and chronic health evaluation (APACHE) IV score in a korea provincial icus by comparing korean simplified acute physiology score (SAPS) III
    JY Moon
    IS Kwon
    JW Lee
    S-I Park
    G-R Chon
    JY Lee
    J-Y Ahn
    Y-J Chang
    S-J Kwon
    Intensive Care Medicine Experimental, 3 (Suppl 1)
  • [50] ACUTE PHYSIOLOGY AND CHRONIC HEALTH EVALUATION (APACHE-II) SCORING IN A CARDIOTHORACIC INTENSIVE-CARE UNIT
    TURNER, JS
    MUDALIAR, YM
    CHANG, RWS
    MORGAN, CJ
    CRITICAL CARE MEDICINE, 1991, 19 (10) : 1266 - 1269