Prognostic value of Sequential Organ Failure Assessment and Simplified Acute Physiology II score compared with trauma scores in the outcome of multiple-trauma patients
Abstract 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...
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| Veröffentlicht in: | The American journal of surgery 2010-08, Vol.200 (2), p.204-214 |
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| creator | Fueglistaler, Philipp, M.D Amsler, Felix, M.Sc Schüepp, Marcel, M.D Fueglistaler-Montali, Ida, M.D Attenberger, Corinna, M.D Pargger, Hans, M.D Jacob, Augustinus Ludwig, M.D Gross, Thomas, M.D |
| description | Abstract 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. |
| doi_str_mv | 10.1016/j.amjsurg.2009.08.035 |
| format | Article |
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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.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2009.08.035</identifier><identifier>PMID: 20227058</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Critical Illness ; Emergency medical care ; Emergency services ; Female ; Hospitals ; Humans ; Intensive care ; Logistic Models ; Male ; Middle Aged ; Mortality ; Multiple Organ Failure ; Multiple trauma ; Multiple Trauma - mortality ; Multivariate analysis ; Outcome ; Patients ; Physiology ; Predictions ; Predictive Value of Tests ; Prognosis ; Prospective Studies ; Regression analysis ; Sepsis ; Sequential Organ Failure Assessment score ; Severity of Illness Index ; Simplified Acute Physiology Score II ; Surgery ; Trauma ; Trauma centers ; Trauma scores ; Trauma Severity Indices ; Variables ; Young Adult</subject><ispartof>The American journal of surgery, 2010-08, Vol.200 (2), p.204-214</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2010 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Aug 1, 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-6167d107ca2e51ebfe979d9e40033e2be5407bf44e6cad3024b6cc4606b04db63</citedby><cites>FETCH-LOGICAL-c447t-6167d107ca2e51ebfe979d9e40033e2be5407bf44e6cad3024b6cc4606b04db63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961009007727$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20227058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fueglistaler, Philipp, M.D</creatorcontrib><creatorcontrib>Amsler, Felix, M.Sc</creatorcontrib><creatorcontrib>Schüepp, Marcel, M.D</creatorcontrib><creatorcontrib>Fueglistaler-Montali, Ida, M.D</creatorcontrib><creatorcontrib>Attenberger, Corinna, M.D</creatorcontrib><creatorcontrib>Pargger, Hans, M.D</creatorcontrib><creatorcontrib>Jacob, Augustinus Ludwig, M.D</creatorcontrib><creatorcontrib>Gross, Thomas, M.D</creatorcontrib><title>Prognostic value of Sequential Organ Failure Assessment and Simplified Acute Physiology II score compared with trauma scores in the outcome of multiple-trauma patients</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract 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.</description><subject>Adult</subject><subject>Aged</subject><subject>Critical Illness</subject><subject>Emergency medical care</subject><subject>Emergency services</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multiple Organ Failure</subject><subject>Multiple trauma</subject><subject>Multiple Trauma - mortality</subject><subject>Multivariate analysis</subject><subject>Outcome</subject><subject>Patients</subject><subject>Physiology</subject><subject>Predictions</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Regression analysis</subject><subject>Sepsis</subject><subject>Sequential Organ Failure Assessment score</subject><subject>Severity of Illness Index</subject><subject>Simplified Acute Physiology Score II</subject><subject>Surgery</subject><subject>Trauma</subject><subject>Trauma centers</subject><subject>Trauma scores</subject><subject>Trauma Severity Indices</subject><subject>Variables</subject><subject>Young Adult</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFksGO0zAQhiMEYsvCI4AscdhTythx4uQCqlYsVFppVyqcLceZtC5OHGxnUZ-I18SlBaS9cLKs-eb_7fkny15TWFKg1bv9Ug37MPvtkgE0S6iXUJRPsgWtRZPTui6eZgsAYHlTUbjIXoSwT1dKefE8u2DAmICyXmQ_773bji5Eo8mDsjMS15MNfp9xjEZZcue3aiQ3ytjZI1mFgCEMqUbU2JGNGSZreoMdWek5IrnfHYJx1m0PZL0mQbvUo90wKZ-QHybuSPRqHtSpFIgZSdwlyzkm6rf1MNtoJov5GZxUNMkuvMye9coGfHU-L7OvNx-_XH_Ob-8-ra9Xt7nmXMS8opXoKAitGJYU2x4b0XQNcoCiQNZiyUG0PedYadUVwHhbac0rqFrgXVsVl9nVSXfyLg0hRDmYoNFaNaKbgxS8boqCiiaRbx-Rezf7MT1O0obxuiyZ4IkqT5T2LgSPvZy8GZQ_SAryGKTcy3OQ8hikhFqmIFPfm7P63A7Y_e36k1wCPpwATNN4MOhl0GlSGjvjUUfZOfNfi_ePFLQ1o9HKfsMDhn-_kYFJkJvjNh2XCRoAIZgofgF_LcnP</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Fueglistaler, Philipp, M.D</creator><creator>Amsler, Felix, M.Sc</creator><creator>Schüepp, Marcel, M.D</creator><creator>Fueglistaler-Montali, Ida, M.D</creator><creator>Attenberger, Corinna, M.D</creator><creator>Pargger, Hans, M.D</creator><creator>Jacob, Augustinus Ludwig, M.D</creator><creator>Gross, Thomas, M.D</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100801</creationdate><title>Prognostic value of Sequential Organ Failure Assessment and Simplified Acute Physiology II score compared with trauma scores in the outcome of multiple-trauma patients</title><author>Fueglistaler, Philipp, M.D ; Amsler, Felix, M.Sc ; Schüepp, Marcel, M.D ; Fueglistaler-Montali, Ida, M.D ; Attenberger, Corinna, M.D ; Pargger, Hans, M.D ; Jacob, Augustinus Ludwig, M.D ; Gross, Thomas, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-6167d107ca2e51ebfe979d9e40033e2be5407bf44e6cad3024b6cc4606b04db63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Critical Illness</topic><topic>Emergency medical care</topic><topic>Emergency services</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multiple Organ Failure</topic><topic>Multiple trauma</topic><topic>Multiple Trauma - mortality</topic><topic>Multivariate analysis</topic><topic>Outcome</topic><topic>Patients</topic><topic>Physiology</topic><topic>Predictions</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Regression analysis</topic><topic>Sepsis</topic><topic>Sequential Organ Failure Assessment score</topic><topic>Severity of Illness Index</topic><topic>Simplified Acute Physiology Score II</topic><topic>Surgery</topic><topic>Trauma</topic><topic>Trauma centers</topic><topic>Trauma scores</topic><topic>Trauma Severity Indices</topic><topic>Variables</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fueglistaler, Philipp, M.D</creatorcontrib><creatorcontrib>Amsler, Felix, M.Sc</creatorcontrib><creatorcontrib>Schüepp, Marcel, M.D</creatorcontrib><creatorcontrib>Fueglistaler-Montali, Ida, M.D</creatorcontrib><creatorcontrib>Attenberger, Corinna, M.D</creatorcontrib><creatorcontrib>Pargger, Hans, M.D</creatorcontrib><creatorcontrib>Jacob, Augustinus Ludwig, M.D</creatorcontrib><creatorcontrib>Gross, Thomas, M.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fueglistaler, Philipp, M.D</au><au>Amsler, Felix, M.Sc</au><au>Schüepp, Marcel, M.D</au><au>Fueglistaler-Montali, Ida, M.D</au><au>Attenberger, Corinna, M.D</au><au>Pargger, Hans, M.D</au><au>Jacob, Augustinus Ludwig, M.D</au><au>Gross, Thomas, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic value of Sequential Organ Failure Assessment and Simplified Acute Physiology II score compared with trauma scores in the outcome of multiple-trauma patients</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>200</volume><issue>2</issue><spage>204</spage><epage>214</epage><pages>204-214</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Abstract 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20227058</pmid><doi>10.1016/j.amjsurg.2009.08.035</doi><tpages>11</tpages></addata></record> |
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| subjects | Adult Aged Critical Illness Emergency medical care Emergency services Female Hospitals Humans Intensive care Logistic Models Male Middle Aged Mortality Multiple Organ Failure Multiple trauma Multiple Trauma - mortality Multivariate analysis Outcome Patients Physiology Predictions Predictive Value of Tests Prognosis Prospective Studies Regression analysis Sepsis Sequential Organ Failure Assessment score Severity of Illness Index Simplified Acute Physiology Score II Surgery Trauma Trauma centers Trauma scores Trauma Severity Indices Variables Young Adult |
| title | Prognostic value of Sequential Organ Failure Assessment and Simplified Acute Physiology II score compared with trauma scores in the outcome of multiple-trauma patients |
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