Predictive value of SAPS II and APACHE II scoring systems for patient outcome in a medical intensive care unit.
Predictive value of SAPS II and APACHE II scoring systems for patient outcome in a medical intensive care unit.
复制标题
DOI：
10.5644/ama2006-124.165
复制
发表时间：
2016-11-01
影响因子：
--
通讯作者：
Kukuljac, Adis
中科院分区：
文献类型：
--
作者：
Godinjak, Amina;Iglica, Amer;Kukuljac, Adis
目的：测定萨拉热窝大学临床中心内科重症监护病房患者的SAPS II和APACHE II评分，比较它们对患者预后的预测作用，并与不同亚组患者的实际住院死亡率进行比较。方法：对萨拉热窝大学临床中心内科重症监护病房的174名患者进行为期一年的分析。获取患者的人口学特征、入院诊断、SAPS II、APACHE II评分和最终结果。结果：174例患者中，死亡70例(40.2%)。所有患者的SAPS II和APACHE II评分分别为(48.4±17.0)分和(21.6±10.3)分，存活者与死亡者之间差异有统计学意义。SAPS II>；50.5和APACHE II>；27.5可以预测这些患者的死亡风险。SAPS II与APACHE II的临床评分差异无统计学意义(p=0.501)。SAPS II评分与APACHE II评分呈显著正相关(r=0.708；p=0.001)。入院诊断为败血症/感染性休克的患者SAPS II和APACHE II评分最高，住院病死率也最高，为55.1%。结论：APACHE II和SAPS II均具有较好的区分存活和死亡的能力。SAPS II和APACHE II的临床评分差异无统计学意义，两者呈正相关。败血症/感染性休克患者预测和观察到的住院死亡率最高。
OBJECTIVE: The aim is to determine SAPS II and APACHE II scores in medical intensive care unit (MICU) patients, to compare them for prediction of patient outcome, and to compare with actual hospital mortality rates for different subgroups of patients.METHODS: One hundred and seventy-four patients were included in this analysis over a oneyear period in the MICU, Clinical Center, University of Sarajevo. The following patient data were obtained: demographics, admission diagnosis, SAPS II, APACHE II scores and final outcome.RESULTS: Out of 174 patients, 70 patients (40.2%) died. Mean SAPS II and APACHE II scores in all patients were 48.4±17.0 and 21.6±10.3 respectively, and they were significantly different between survivors and non-survivors. SAPS II >50.5 and APACHE II >27.5 can predict the risk of mortality in these patients. There was no statistically significant difference in the clinical values of SAPS II vs APACHE II (p=0.501). A statistically significant positive correlation was established between the values of SAPS II and APACHE II (r=0.708; p=0.001). Patients with an admission diagnosis of sepsis/septic shock had the highest values of both SAPS II and APACHE II scores, and also the highest hospital mortality rate of 55.1%.CONCLUSION: Both APACHE II and SAPS II had an excellent ability to discriminate between survivors and non-survivors. There was no significant difference in the clinical values of SAPS II and APACHE II. A positive correlation was established between them. Sepsis/septic shock patients had the highest predicted and observed hospital mortality rate.