Evaluation of sequential organ failure assessment score for patients with strangulation ileus.
BACKGROUND
We examined the effectiveness of sequential organ failure assessment (SOFA) score to describe patients with strangulation ileus.


METHODS
The subjects consisted of 66 patients given a diagnosis of ileus who underwent a surgery during the period from January 2001 to December 2006. On the basis of surgical findings, they were classified into two groups; the strangulation group, consisting of 25 patients, and the control group, consisting of 41 patients with simple ileus. The background factors, SOFA score, blood test findings before treatment, and vital signs were compared between these two groups in a retrospective study.


RESULTS
Statistically significant differences between the two groups were observed by univariate analysis in the SOFA score, white blood cell count, CRP, CPK, PaCO2, BE, and pulse rate. The SOFA score, white blood cell count, and pulse rate were significant independent factors in the multivariate analysis.


CONCLUSIONS
These results showed that it may be helpful to use SOFA score in combination with further diagnostic tools, while the experience of clinicians will be still required for diagnosis of strangulation ileus.
Sumi
Tetsuo
T
Department of Gastrointestinal Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tate-machi, Hachioji, Tokyo, 193-0998, Japan. ts3350@yahoo.co.jp
Katsumata
Kenji
K
Tsuchida
Akihiko
A
Sonoda
Ichiro
I
Shimazu
Motohide
M
Aoki
Tatsuya
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D016022:Case-Control Studies; D002423:Cause of Death; D016009:Chi-Square Distribution; D016001:Confidence Intervals; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D004632:Emergency Medical Services / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D045823:Ileus / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000453:epidemiology* / Q000209:etiology; D015999:Multivariate Analysis; D016017:Odds Ratio; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D016019:Survival Analysis