Sequential organ failure assessment scoring and prediction of patient's outcome in Intensive Care Unit of a tertiary care hospital.
OBJECTIVE
The objective was to determine the accuracy of sequential organ failure assessment (SOFA) score in predicting outcome of patients in Intensive Care Unit (ICU).


METHODS
Forty-four consecutive patients between 15 and 80 years admitted to ICU over 8 weeks period were studied prospectively. Three patients were excluded. SOFA score was determined 24 h postadmission to ICU and subsequently every 48 h for the first 10 days. Patients were followed till discharge/death/transfer from the ICU. Initial SOFA score, highest and mean SOFA scores were calculated and correlated with mortality and duration of stay in ICU.


RESULTS
The mortality rate was 39% and the mean duration of stay in the ICU was 9 days. The maximum score in survivors (3.92 ± 2.17) was significantly lower than nonsurvivors (8.9 ± 3.45). The initial SOFA score had a strong statistical correlation with mortality. Cardiovascular score on day 1 and 3, respiratory score on day 7, and coagulation profile on day 3 correlated significantly with the outcome. Duration of the stay did not correlate with the survival (P = 0.461).


CONCLUSIONS
SOFA score is a simple, but effective prognostic indicator and evaluator for patient progress in ICU. Day 1 SOFA can triage the patients into risk categories. For further management, mean and maximum score help determine the severity of illness and can act as a guide for the intensity of therapy required for each patient.
Department of Anesthesia and Critical Care, Government Medical College and Hospital, Chandigarh, India.
Aditi
A
Jain
Department of Anesthesia and Critical Care, Government Medical College and Hospital, Chandigarh, India.
Sanjeev
S
Palta
Department of Anesthesia and Critical Care, Government Medical College and Hospital, Chandigarh, India.
Richa
R
Saroa
Department of Pathology, Government Medical College and Hospital, Chandigarh, India.
Anshu
A
Palta
Department of Anesthesia and Critical Care, Government Medical College and Hospital, Chandigarh, India.
Sonu
S
Sama
Department of Anesthesia and Critical Care, Government Medical College and Hospital, Chandigarh, India.
Satinder
S
Gombar
Intensive Care Unit; mortality; sequential organ failure assessment score