TISS 28 or SOFA: good predicting factors for admission in a surgical intensive care unit longer than 24 hours.
OBJECTIVE
To investigate the application of the Therapeutic Intervention Scoring System (TISS-28) and Sequential Organ Failure Assessment (SOFA) score to the surgical intensive care patients, and to find associated factors affecting length of stay (LOS).


METHODS
Prospective data; from 1st July 2004 to 31st December 2004 at Siriraj Hospital. TISS-28 and SOFA and other data were recorded within the first 24 hours of ICU admission.


RESULTS
Average TISS-28 and SOFA values for patients who required >24 hr ICU stay were significantly different from those who required < 24 hr ICU stay (29.7 +/- 7.9 and 3.1 +/- 2.8 points versus 19.4 +/- 5.9 and 1.1 +/- 1.9 points, respectively p < 0.001). The other independent predictors of LOS > 24 hrs were ventilator support; vasoactive agents administration, central venous line insertion, emergency operation, renal dysfunction, and post-operative fever.


CONCLUSIONS
The severity scores (TISS 28 and SOFA) can sufficiently demonstrate the workload and also the good predictors of ICU length of stay.
Raksakietisak
M
M
Department of anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. manee95@hotmail.com
Toomtong
P
P
Vorakitpokatorn
P
P
Sengleulur
A
A
Sunjohndee
M
M
D003422:Critical Care / Q000706:statistics & numerical data; D016638:Critical Illness / Q000401:mortality; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D007902:Length of Stay; D008297:Male; D009102:Multiple Organ Failure / Q000401:mortality*; D010343:Patient Admission; D011182:Postoperative Care; D011237:Predictive Value of Tests; D011379:Prognosis; D012720:Severity of Illness Index; D016019:Survival Analysis; D013785:Thailand