مقایسه اپاچی4 و triosدر پیش بینی مورتالیته بیماران بستری در icu

یوسفیان, مهزاد and قاضی, احمد and امانی, فیروز and موفق, بیتا (1400) مقایسه اپاچی4 و triosدر پیش بینی مورتالیته بیماران بستری در icu. Journal of Advanced Pharmacy Education & Research ــ 12 (1). pp. 56-62. شاپا 2249-3379

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Official URL: https://japer.in/article/mortality-rate-in-patient...


Mortality rate in patients admitted to the ICU based on LODS, APACHE IV, TRIOS, SAPS II

English Abstract

The exact classification of diseases and correct prediction of patient outputs could help in optimal uses of ICU beds by reducing unnecessary monitoring. Valid index use to assess ICU patients seems essential to adequately manage the limited services. This study aimed to estimate the mortality rate in patients admitted to ICU based on APACHE IV, LODS, TRIOS, SAPS II scoring systems. This was a cross-sectional study performed on 53 patients admitted to the ICU of Alavi hospital in Ardabil. Data were collected using a checklist including clinical and demographic data of patients. The prediction of mortality was based on scores obtained from each of four indices SAPS, LODS, TRIOS, and APACHE IV tools. Data were analyzed by SPSS v.23 and the p-value <0.05 was considered significant. 56.6% of patients were male and the rest were female. The mean age of the patients was 71.8 years (20-97). Of all patients, 56.6% died during study time. Results of mortality prediction by four indices showed that the APACHE IV with 33.5% and LODS with 27.8% had the highest and lowest rate, respectively. The relation between mortality prediction rate by APACHE IV and TRIOS with uses ventilator and SO2 amount were significant. According to the roc curve, the mortality prediction rate with APACHE IV with 76% was more than TRIOS with 57%. Results showed that among all four indices, the best and efficient system in the prediction of mortality rate in patients was APACHE IV, which had good calibration in comparison with other indices.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :مهزاد یوسفیان
نویسنده مسئول :احمد قاضی
نویسنده :فیروز امانی
نویسنده :بیتا موفق
Additional Information:Indexed in: Scopus
کلیدواژه ها (انگلیسی):Acute physiology and chronic health evaluation; Hospital mortality; Intensive care unit; Logistic organ dysfunction score; Simplified acute physiology score; Three days recalibrated icu outcome score
Subjects:WB Practice of Medicine
Divisions:Faculty of Medicine > Department of Pediatrics , Community Medicine
Faculty of Medicine > Department of Anesthesiology , Obstetrics & Gynecology
ID Code:15283
Deposited By: Dr Mahzad Yousefian
Deposited On:02 Dec 1400 11:02
Last Modified:02 Dec 1400 11:02

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