To Evaluate Multiple Organ dysfunction Syndrome And Their Survival Outcome According To Sequential Organ Failure Assessment Score And Simplified Acute Physiology Score Among Patients With Infectious Diseases.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 3
Abstract
Lack of clinical diagnostic criteria, high cost and non availability of isolation techniques results in misdiagnosis and treatment failure. (1) Due to improper utilization of resources, etiology remains unestablished during the first crucial 24-48 hours. The European society of intensive care medicine organized a consensus meeting in Paris in October 1994 to create SOFA –a sepsis related organ failure assessment score, to describe quantitatively and the degree of organ dysfunction over the time in groups of patients or even in the individual patients. Six organ functions were assessed using the initial SOFA score. This can be used to characterize the patients at the entry or to evaluate effects of treatment. Lack of clinical diagnostic criteria, high cost and non availability of isolation techniques results in misdiagnosis and treatment failure.(1) Due to improper utilization of resources, etiology remains un established during the first crucial 24-48 hours. Later in 1993, it was modified to SAPS II(2) which was calculated as the sum of points assigned to each of the 17 variables and age, type of admission and 3 underlying diseases. Assessment of SAPS and SOFA score in ICU, may be helpful in knowing the prognosis of the severity of organ dysfunction and predicting mortality in the infectious diseases in Indian population. A study concluded that serial measurement of SOFA score during the first week is a very useful tool in predicting the outcome (3). A study in 2001 analysed serial evaluation of SOFA score as an outcome predictor in critically ill and proved SOFA score during the first few days of ICU admission as a good indicator of prognosis(4).SAPS score showed statistical significance in another studies(5,6) but showed no statistical significance in a study done in greek ICU(7).
Authors and Affiliations
Dr. R. K. Jha
Keywords
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