An assessment of the validity of SOFA score based triage in H1N1 critically ill patients during an influenza pandemic
An assessment of the validity of SOFA score based triage in H1N1 critically ill patients during an influenza pandemic
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DOI：
10.1111/j.1365-2044.2009.06135.x
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发表时间：
2009-12-01
期刊：
影响因子：
10.7
通讯作者：
Sherwood, N.
中科院分区：
文献类型：
--
作者：
Khan, Z.;Hulme, J.;Sherwood, N.
基于序贯器官衰竭评估（SOFA）评分的甲型H1N1流感重症患者分诊已被提议用于快速增援能力管理，作为临床决策的指南。我们对一家城市医院内科-外科混合重症监护病房的甲型H1N1流感重症患者进行了回顾性记录审查和SOFA评分。8名甲型H1N1流感重症患者被送入重症监护室。他们的平均（范围）年龄为39（26-52）岁，住院时间为11（3-17）天。所有患者均符合基于SOFA评分的分诊入院标准，模态SOFA评分为5分。5例患者需要有创通气，平均（范围）5（4-11）天。根据SOFA评分指南，在48 h时，考虑5例患者停止治疗。所有患者均存活。我们的结论是，SOFA评分为基础的分诊可能会导致生命支持的危重病人谁可以生存与一个可接受的短时间停留在重症监护室撤回。
Sequential Organ Failure Assessment (SOFA) score based triage of influenza A H1N1 critically ill patients has been proposed for surge capacity management as a guide for clinical decision making. We conducted a retrospective records review and SOFA scoring of critically ill patients with influenza A H1N1 in a mixed medical-surgical intensive care unit in an urban hospital. Eight critically ill patients with influenza A H1N1 were admitted to the intensive care unit. Their mean (range) age was 39 (26-52) years with a length of stay of 11 (3-17) days. All patients met SOFA score based triage admission criteria with a modal SOFA score of five. Five patients required invasive ventilation for a mean (range) of 5 (4-11) days. Five patients would have been considered for withdrawal of treatment using SOFA scoring guidelines at 48 h. All patients survived. We conclude that SOFA score based triage could lead to withdrawal of life support in critically ill patients who could survive with an acceptably low length of stay in the intensive care unit.