Modification of sequential organ failure assessment score using acute kidney injury classification

被引：7

作者：

Kotani, Yuki ^{[1
,2
]}

Fujii, Tomoko ^{[3
,4
]}

Uchino, Shigehiko ^{[5
]}

Doi, Kent ^{[6
]}

Nashiki, Hiroshi ^{[7
]}

Irie, Hiromasa ^{[8
]}

Karumai, Toshiyuki ^{[9
]}

Hayashi, Yoshiro ^{[9
]}

Suzuki, Takeshi ^{[10
]}

Kawakami, Daisuke ^{[11
]}

Katayama, Shinshu ^{[12
]}

Kaneko, Takahisa ^{[13
]}

Isshiki, Rei ^{[14
]}

Hashiba, Eiji ^{[15
]}

Hara, Yoshitaka ^{[16
]}

Kishihara, Yuki ^{[17
]}

Takei, Tetsuhiro ^{[18
]}

机构：

[1] Japanese Red Cross Soc Wakayama Med Ctr, Dept Crit Care Med, 4-20 Komatsubara Dori, Wakayama, Japan

[2] Kameda Med Ctr, Dept Intens Care Med, 929 Higashi Cho, Kamogawa, Japan

[3] Kyoto Univ, Dept Epidemiol & Prevent Med, Grad Sch Med, Sakyo Ku, Yoshida Hon Machi, Kyoto, Japan

[4] Japan Soc Promot Sci, Chiyoda Ku, 5-3-1 Kojimachi, Tokyo, Japan

[5] Jikei Univ, Dept Anaesthesiol, Intens Care Unit, Sch Med,Minato Ku, 3-25-8 Nishi Shimbashi, Tokyo, Japan

[6] Univ Tokyo, Dept Emergency & Crit Care Med, Bunkyo Ku, 7-3-1 Flongo, Tokyo, Japan

[7] Iwate Prefectural Cent Hosp, Morioka, Iwate, Japan

[8] Kurashiki Cent Hosp, Kurashiki, Okayama, Japan

[9] Kameda Med Ctr, Kamogawa, Chiba, Japan

[10] Keio Univ Hosp, Tokyo, Japan

[11] Kobe City Med Ctr Gen Hosp, Kobe, Hyogo, Japan

[12] Jichi Med Univ Hosp, Shimotsuke, Tochigi, Japan

[13] Jikei Univ Hosp, Tokyo, Japan

[14] Univ Tokyo Hosp, Tokyo, Japan

[15] Japanese Red Cross Wakayama Med Ctr, Wakayama, Japan

[16] Hirosaki Univ Hosp, Hirosaki, Aomori, Japan

[17] Japanese Red Cross Musashino Hosp, Musashino, Tokyo, Japan

[18] Yokohama City Minato Red Cross Hosp, Tokyo, Japan

来源：

JOURNAL OF CRITICAL CARE | 2019年 / 51卷

基金：

日本学术振兴会;

关键词：

Sequential Organ Failure Assessment score; Acute kidney injury; KDIGO; Organ dysfunction scores; ACUTE-RENAL-FAILURE; INTENSIVE-CARE UNITS; SOFA SCORE; RISK-FACTORS; ILL PATIENTS; APACHE-II; SEPSIS; DYSFUNCTION/FAILURE; MULTICENTER; CREATININE;

D O I：

10.1016/j.jcrc.2019.02.026

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose: To assess the predictive validity of a modified Sequential Organ Failure Assessment (SOFA) score, of which the renal component was replaced with Kidney Disease Improving Global Outcomes (KDIGO) classification of Acute Kidney Injury (AKI). Materials and methods: Using a prospective cohort study on AKI in Japan, we replaced the renal component of SOFA score with AKI stages according to the KDIGO criteria except that initiation of renal replacement therapy was assigned four points. We assessed the predictive validity of KDIGO-based SOFA score for hospital and ICU mortality by comparing the areas under the receiver operating characteristic curve (AUC) derived from logistic regression models with that of the original SOFA score. Results: 2292 patients were registered. Overall hospital mortality was 11.6%, and ICU mortality was 5.1%. KDIGO-based SOFA score was moderately correlated with APACHE II score (rho = 0.476). The AUC for hospital and ICU mortality of KDIGO-based and the original SOFA score were 0.749 vs 0.745 (p = .393) and 0.790 vs 0.791 (p = .900). Conclusions: The prognostic performance of KDIGO-based SOFA score was not superior but comparable to that of the original SOFA score. (C) 2019 Elsevier Inc. All rights reserved.

引用

页码：198 / 203

页数：6

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