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Does SOFA predict outcomes better than SIRS in Brazilian ICU patients with suspected infection? A retrospective cohort study
- Source :
- Brazilian Journal of Infectious Diseases, Volume: 21, Issue: 6, Pages: 665-669, Published: DEC 2017, Brazilian Journal of Infectious Diseases, Vol 21, Iss 6, Pp 665-669 (2017)
- Publication Year :
- 2017
- Publisher :
- Brazilian Society of Infectious Diseases, 2017.
-
Abstract
- We compared the discriminatory capacity of the sequential organ failure assessment (SOFA) versus the systemic inflammatory response syndrome (SIRS) score for predicting ICU mortality, need for and length of mechanical ventilation, ICU stay, and hospitalization in patients with suspected infection admitted to a mixed Brazilian ICU. We performed a retrospective analysis of a longitudinal ICU database from a tertiary hospital in Southern Brazil. Patients were categorized according to whether they met the criteria for sepsis according to SOFA (variation ≥2 points over the baseline clinical condition) and SIRS (SIRS score ≥2 points). From January 2008 to December 2014, 1487 patients were admitted to the ICU due to suspected infection. SOFA ≥2 identified more septic patients than SIRS ≥2 (79.0% [n = 1175] vs. 68.5% [n = 1020], p 7 days (AUROC = 0.65 vs. 0.63, p = 0.004), and length of hospitalization >10 days (AUROC = 0.61 vs. 0.59, p 7 days. Keywords: Sepsis, Intensive care unit, Organ dysfunction, Outcomes
- Subjects :
- Microbiology (medical)
Icu patients
medicine.medical_specialty
Organ Dysfunction Scores
medicine.medical_treatment
health care facilities, manpower, and services
Organ dysfunction
lcsh:QR1-502
Length of hospitalization
Outcomes
lcsh:Microbiology
lcsh:Infectious and parasitic diseases
Cohort Studies
Sepsis
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Internal medicine
medicine
Humans
lcsh:RC109-216
In patient
Intensive care unit
Hospital Mortality
030212 general & internal medicine
Intensive care medicine
Retrospective Studies
Mechanical ventilation
Icu mortality
business.industry
030208 emergency & critical care medicine
Retrospective cohort study
Length of Stay
medicine.disease
Respiration, Artificial
Systemic Inflammatory Response Syndrome
Data Accuracy
Systemic inflammatory response syndrome
Intensive Care Units
Infectious Diseases
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Brazilian Journal of Infectious Diseases, Volume: 21, Issue: 6, Pages: 665-669, Published: DEC 2017, Brazilian Journal of Infectious Diseases, Vol 21, Iss 6, Pp 665-669 (2017)
- Accession number :
- edsair.doi.dedup.....8c955b9febf7948e7d29baed33e7cd8a