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Predicting factor for mortality rate in surgical intensive care units.
- Source :
- Journal of Emergency Medicine, Trauma & Acute Care; 2023, Vol. 2023 Issue 2, p1-7, 7p
- Publication Year :
- 2023
-
Abstract
- Background: The body of evidence on surgical intensive care unit (SICU) mortality and its predictors is still being determined. This study analyzed the significant predicting factors for mortality in SICU patients. Materials and Methods: The medical records of patients in SICUs at Her Royal Highness Princess Maha Chakri Sirindhorn Medical Center, Srinakharinwirot University, from June 2020 to July 2021, were retrospectively reviewed. Patients were excluded if transferred from other hospitals and not undergoing orthopedics, otolaryngology, obstetrics, and gynecology surgeries. Results: A total of 276 patients admitted to SICUs were included in this analysis, and 60.5% were men. The mean age was 60.07 ± 17.19 years. The average length of SICU stay was 8.1 ± 10.79 days, and the mortality rate was 23.6%. By univariate analysis, significant predictive factors for mortality rate in SICU patients were acute physiology and chronic health evaluation II (APACHE II) (p < 0.001), Glasgow coma scale (GCS) = 8 (p < 0.001), sequential organ failure assessment (SOFA) score (p < 0.001), serum albumin < 2.5 (p = 0.013), and sepsis or septic shock (p < 0.001). From receiver operating characteristics (ROC) curve analysis to predict mortality, the best cut-off point of APACHE II and SOFA scores were 15.5 and 5.5, respectively. The multivariate logistic regression analysis significantly identified APACHE II > 15, GCS = 8 and SOFA score > 5 as significant predictive factors associated with the mortality rate in SICU patients. Conclusions: APACHE II > 15, GCS = 8, and SOFA score > 5 are predictive mortality factors in SICU patients. Patients with these factors should be given priority for admission to the SICU when there is a discrepancy between the demand and the supply for SICU beds. [ABSTRACT FROM AUTHOR]
- Subjects :
- INTENSIVE care units
PNEUMONIA
STATISTICS
ACADEMIC medical centers
CONFIDENCE intervals
RESPIRATORY insufficiency
MULTIPLE regression analysis
URINARY tract infections
SURGERY
PATIENTS
RETROSPECTIVE studies
ACQUISITION of data
MANN Whitney U Test
FISHER exact test
CROSS infection
CELLULITIS
APACHE (Disease classification system)
HEALTH status indicators
RISK assessment
HOSPITAL mortality
SERUM albumin
SEPSIS
T-test (Statistics)
MEDICAL records
GLASGOW Coma Scale
DESCRIPTIVE statistics
CHI-squared test
SURGICAL site infections
DATA analysis software
STATISTICAL models
ODDS ratio
RECEIVER operating characteristic curves
SENSITIVITY & specificity (Statistics)
SEPTIC shock
COMORBIDITY
Subjects
Details
- Language :
- English
- ISSN :
- 19997086
- Volume :
- 2023
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Emergency Medicine, Trauma & Acute Care
- Publication Type :
- Academic Journal
- Accession number :
- 171790618
- Full Text :
- https://doi.org/10.5339/jemtac.2023.17