title: [Interest of ambulatory simplified acute physiology score (ASAPS) applied to patients admitted in an intensive care unit of an infectious diseases unit in Dakar].
abstract: The evaluation of patients by a scale of gravity allows a better categorization of patients admitted in intensive care unit (ICU). Our study had for objective to estimate interest of Ambulatory Simplified Acute Physiologic Score (ASAPS) applied to patients admitted in ICU of infectious diseases department of FANN hospital. It was about a descriptive and analytical retrospective study, made from the data found in patients' files admitted into the USI infectious diseases department of FANN hospital in Dakar, from January 1(st), 2009 till December 31st, 2009.The data of 354 patients' files were analyzed. The sex-ratio was 1.77 with an average age of 37.6 years ± 19.4 years old [5-94 years]. The majority of the patients were unemployed paid (39.6%). The most frequent failures were the following ones: neurological (80.5%), cardio-respiratory (16.7%). The average duration of stay was 6.2 days ± 8.2 days going of less than 24 hours to more than 10 weeks. The deaths arose much more at night (53.1%) than in the daytime (46.9%) and the strongest rate of death was recorded in January (61.5%), most low in October (26.7%). The global mortality was 48.3%. The rate of lethality according to the highest main diagnosis was allocated to the AIDS (80.5%). The average ambulatory simplified acute physiology score was 5.3 ± 3.6 with extremes of 0 and 18. The deaths in our series increased with this index (p = 0.000005). The female patients had a rate of lethality higher than that of the men people, 55.5% against 44.2% (p = 0.03). In spite of a predictive score of a high survival (ASAPS < 8), certain number of patients died (n = 105) that is 61.4% of the deaths. The metabolic disturbances, hyperleukocytosis or leukopenia when realised, the presence of a chronic disease, seemed also to influence this lethality. ASAPS only, although interesting, would not good estimate the gravity of patients, where from the necessity thus of a minimum biological balance sheet. It seems better adapted for patients with a high value (ASAPS≥8). This score when it is low, is not correlated, in our study, at a high survival rate as waited in this population.
authors.affiliation: Clinique des maladies infectieuses Ibrahima Diop Mar, CHNU de Fann, BP : 5035, Dakar-Fann, Sénégal, ndeyemery@gmail.com.
authors.forename: N M
authors.initials: NM
authors.lastname: Dia
authors.forename: I
authors.initials: I
authors.lastname: Diallo
authors.forename: N M
authors.initials: NM
authors.lastname: Manga
authors.forename: S A
authors.initials: SA
authors.lastname: Diop
authors.forename: L
authors.initials: L
authors.lastname: Fortes-Deguenonvo
authors.forename: N A
authors.initials: NA
authors.lastname: Lakhe
authors.forename: D
authors.initials: D
authors.lastname: Ka
authors.forename: M
authors.initials: M
authors.lastname: Seydi
authors.forename: B M
authors.initials: BM
authors.lastname: Diop
authors.forename: P S
authors.initials: PS
authors.lastname: Sow
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000453:epidemiology*; D005260:Female; D017052:Hospital Mortality; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D055552:Infectious Disease Medicine; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008288:Malaria / Q000453:epidemiology; D008297:Male; D008590:Meningoencephalitis / Q000453:epidemiology; D008875:Middle Aged; D012189:Retrospective Studies; D012621:Seasons; D012675:Senegal / Q000453:epidemiology; D012720:Severity of Illness Index; D017678:Sex Distribution; D012959:Socioeconomic Factors; D015996:Survival Rate; D013742:Tetanus / Q000453:epidemiology; D014376:Tuberculosis / Q000453:epidemiology; D055815:Young Adult