Clinical Scores can predict mortality in septic patients in icu

Document Type : Original Article

Authors

1 Department of anethiology minia university

2 Anesthesia and ICU department, Minia University

3 anethesiology,minia university

Abstract

Background: Sepsis was a significant contributor to death in Intensive Care Units globally (1). There was a scarcity of information concerning early indicators that can predict death and morbidity (2).

Methodology: A research was done on adult cases who entered to the medical Intensive care unit with severe sepsis. The first outcome was the death between studied cases; scores measured on admission were the secondary outcome. Demographic and clinical data were collected at the beginning of the trial. Results: between the all of 91 patients, the mortality rate was 63%. The analysis revealed that individuals over the age of 60, experiencing high scores on (APACHE) II , sofa and NUTRIC score assessment scales were factors related with increased mortality.

In conclusion;

The study revealed a death rate of 63% among patients diagnosed with extreme infection. Severely septic individuals having an APACHE II score greater than 25, SOFA score greater than 8.5 and NUTRIC score more than 5 on entrance to intensive care unit were appeared to be with great chance of mortality. Identifying the factors that predict mortality at an early stage should allow us to intervene appropriately in order to increase the chances of surviving severe sepsis.

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