Prognostic value of Sequential Organ Failure Assessment and Simplified Acute Physiology II Score compared with trauma scores in the outcome of multiple-trauma patients.
BACKGROUND
Prospective data regarding the prognostic value of the Sequential Organ Failure Assessment (SOFA) score in comparison with the Simplified Acute Physiology Score (SAPS II) and trauma scores on the outcome of multiple-trauma patients are lacking.


METHODS
Single-center evaluation (n = 237, Injury Severity Score [ISS] >16; mean ISS = 29). Uni- and multivariate analysis of SAPS II, SOFA, revised trauma, polytrauma, and trauma and ISS scores (TRISS) was performed.


RESULTS
The 30-day mortality was 22.8% (n = 54). SOFA day 1 was significantly higher in nonsurvivors compared with survivors (P < .001) and correlated well with the length of intensive care unit stay (r = .50, P < .001). Logistic regression revealed SAPS II to have the best predictive value of 30-day mortality (area under the receiver operating characteristic = .86 +/- .03). The SOFA score significantly added prognostic information with regard to mortality to both SAPS II and TRISS.


CONCLUSIONS
The combination of critically ill and trauma scores may increase the accuracy of mortality prediction in multiple-trauma patients.
Department of Surgery, University Hospital Basel, Switzerland.
Philipp
P
Fueglistaler
Felix
F
Amsler
Marcel
M
Schüepp
Ida
I
Fueglistaler-Montali
Corinna
C
Attenberger
Hans
H
Pargger
Augustinus Ludwig
AL
Jacob
Thomas
T
Gross
D000328:Adult; D000368:Aged; D016638:Critical Illness; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure; D009104:Multiple Trauma / Q000401:mortality*; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies; D012720:Severity of Illness Index; D015599:Trauma Severity Indices; D055815:Young Adult