Comparison of APACHE II, MPM and CPIS Scoring Systems with Regard to Determine of Mortality at Ventilator-Associated Pneumonia
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 8, Issue 12
Abstract
Aims: Ventilator-associated pneumonia (VAP) due to mechanical ventilation is an important issue that increases mortality and cost of treatment. In this study, we aimed to compare the effectiveness of three scoring models for estimation of mortality and morbidity in patients with ventilator associated pneumonia. Study Design: Prospective research. Place and Duration of Study: Patients with VAP who were admitted into intensive care unit Pamukkale University Hospital prospectively included in the study between January 2012 and June 2012. Methodology: Demographical data, diagnosis on admission, departments from where admitted, APACHE II, Mortality Probability Model II0 (MPMII0) and Mortality Probability Model II24 (MPMII24) scores on admission, length of stay in intensive care and hospital, duration of mechanical ventilation, microbiological data for pneumonia, outcome and Clinical Pulmonary Infection Score values on day 1, 3, 5 and 7 were recorded. Results: Eighty patients (F/M: 37/43) were included study. Mortality was 67.5%. MPM II0, MPMII24 values were significantly high in patients who has died but ROC curves were not significant for any of the scoring systems. In addition, relationship between scoring models and mortality, duration of mechanical ventilation, length of stay in intensive care and hospital was not statistically significant (P=.05). Conclusion: We concluded that each of the three scoring systems for the prediction of mortality in VAP was not superior to each other.
Authors and Affiliations
Ismail Sırıt, Hülya Sungurtekin, Simay Serin, Ercan Gürses, Turan Evran, Asli Mete, Ibrahim Öztürk
Keywords
Related Articles
- EP ID EP347799
- DOI 10.9734/BJMMR/2015/18180
- Views 53
- Downloads 0
Aplastic Anemia during Pregnancy with Complete Remission: Case Report and Review of the Literature
The association of aplastic anemia (AA) and pregnancy is exceptional and there are no clear guidelines for its management, It could be life threatening for both mother and child and a challenge to the hematologist as wel...
Oxidative Stress and Antioxidant Status in Nigerian E-waste Workers: A Cancer Risk Predictive Study
Introduction: In Africa, Nigeria has been reported as the largest destination for unregulated volume of electronic waste (e-waste). Currently, e-waste management practices in Nigeria remain completely primitive, taking p...
Changes in Serum Electrolyte Levels in Typhoid Fever Patients Attending Minna General Hospital, Nigeria
Objective: This study was designed to evaluate the effect of Typhoid fever on the serum levels of electrolytes in patients attending Minna General Hospital, Nigeria. Materials and Methods: Blood samples were obtained fro...
Dyslipidaemia and Cytokine Profile in Patients with Gout: The Role of IL-6, IL-18 and Hyperuricemia in the Development of Metabolic Disorders
Evaluation of the correlation of immunological and biochemical values with clinical manifestations of gout, as well as the role of hyperuricemia in comorbid states is an important for the search of therapeutic targets. O...
A Non-healing Ulcer with Unilateral Facial Palsy
Introduction: Oral cavity is a hub for millions of microorganisms which are non pathogenic, but in immunocompromised states, plethora of diseases emerge which may be the most rarest and fatal. Mucormycosis has emerged as...