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2009•Journal of Wenzhou Medical CollegeRequires access

Application of APACHE II,SAPS II and SOFA evaluating progresis for in evaluating progresis for septic shock patients

Zi‐Qin Xu

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Abstract

Objective: To investigate the effectiveness of APACHEⅡ, SAPSⅡ and SOFA in the prognostic evaluation of septic shock patients. Methods:Fifty-eight septic shock patients in Emergency ICU were enrolled into this retrospective study. APACHEⅡ,SAPSⅡ and SOFAⅡ counts were obtained within the first 24 hr following EICU admission. Results:Compared with survival group, the points of APACHEⅡ, SAPSⅡand SOFA were higher(P0.05) and area under curve of ROC of them was 0.681(0.076), 0.730(0.070)and 0.747(0.073) respectively. Sensitivity of the APACHEⅡand SAPSⅡ systems was 11.76% and 70.95%,respectively. Specificity of the APACHEⅡand SAPSⅡ systems was 85.37% and 60.96%, respectively. Conclusion :APACHE Ⅱ, SAPSⅡ and SOFA score systems are useful for evaluating the prognosis of septic shock patients. But SAPSⅡ tends to overestimate the hospital death rate of septic shock patients.

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Objective: To investigate the effectiveness of APACHEⅡ, SAPSⅡ and SOFA in the prognostic evaluation of septic shock patients. Methods:Fifty-eight septic shock patients in Emergency ICU were enrolled into this retrospective study. APACHEⅡ,SAPSⅡ and SOFAⅡ counts were obtained within the first 24 hr following EICU admission. Results:Compared with survival group, the points of APACHEⅡ, SAPSⅡand SOFA were higher(P0.05) and area under curve of ROC of them was 0.681(0.076), 0.730(0.070)and 0.747(0.073) respectively. Sensitivity of the APACHEⅡand SAPSⅡ systems was 11.76% and 70.95%,respectively. Specificity of the APACHEⅡand SAPSⅡ systems was 85.37% and 60.96%, respectively. Conclusion :APACHE Ⅱ, SAPSⅡ and SOFA score systems are useful for evaluating the prognosis of septic shock patients. But SAPSⅡ tends to overestimate the hospital death rate of septic shock patients.

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Available abstract

Objective: To investigate the effectiveness of APACHEⅡ, SAPSⅡ and SOFA in the prognostic evaluation of septic shock patients. Methods:Fifty-eight septic shock patients in Emergency ICU were enrolled into this retrospective study. APACHEⅡ,SAPSⅡ and SOFAⅡ counts were obtained within the first 24 hr following EICU admission. Results:Compared with survival group, the points of APACHEⅡ, SAPSⅡand SOFA were higher(P0.05) and area under curve of ROC of them was 0.681(0.076), 0.730(0.070)and 0.747(0.073) respectively. Sensitivity of the APACHEⅡand SAPSⅡ systems was 11.76% and 70.95%,respectively. Specificity of the APACHEⅡand SAPSⅡ systems was 85.37% and 60.96%, respectively. Conclusion :APACHE Ⅱ, SAPSⅡ and SOFA score systems are useful for evaluating the prognosis of septic shock patients. But SAPSⅡ tends to overestimate the hospital death rate of septic shock patients.

Key concepts: Septic shock, SAPS II, Medicine, SOFA score, APACHE II, Shock (circulatory), Mortality rate, Internal medicine

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Application of APACHE II,SAPS II and SOFA evaluating progresis for in evaluating progresis for septic shock patients — Research Paper | ScholarLens