Why the study?
The usefulness of SAPS II, APACHE II, and SOFA scores in predicting short- and long-term prognosis required investigation in a local ICU setting.
Do SAPS II, APACHE II, and SOFA scores accurately predict ICU and post-ICU mortality in a mixed ICU population?
Observational (n=905)
No
Do SAPS II, APACHE II, and SOFA scores accurately predict ICU and post-ICU mortality in a mixed ICU population?
While APACHE II and SAPS II scores are effective at predicting ICU mortality, their utility diminishes for predicting post-ICU discharge survival.
These scores may aid local ICU prognosis; leaves open optimal choice for short- and long-term prediction.
Background: The Simplified Acute Physiology Score (SAPS) II, Acute Physiology and Chronic Health Evaluation (APACHE) II, and Sequential Organ Failure Assessment (SOFA) scales are scoring systems used in intensive care units (ICUs) worldwide. We aimed to investigate their usefulness in predicting short- and long-term prognosis in the local ICU. Methods: This single-center observational study covered 905 patients admitted from 1 January 2015 to 31 December 2017 to a tertiary mixed ICU. SAPS II, APACHE II, and SOFA scores were calculated based on the worst values from the first 24 h post-admission. Patients were divided into surgical (SP) and nonsurgical (NSP) subjects. Unadjusted ICU and post-ICU discharge mortality rates were considered the outcomes. Results: Baseline SAPS II, APACHE II, and SOFA scores were 41.1 ± 20.34, 14.07 ± 8.73, and 6.33 ± 4.12 points, respectively. All scores were significantly lower among SP compared to NSP (p < 0.05). ICU mortality reached 35.4% and was significantly lower for SP (25.3%) than NSP (57.9%) (p < 0.001). The areas under the receiver-operating characteristic (ROC) curves were 0.826, 0.836, and 0.788 for SAPS II, APACHE II, and SOFA scales, respectively, for predicting ICU prognosis, and 0.708, 0.709, and 0.661 for SAPS II, APACHE II, and SOFA, respectively, for post-ICU prognosis. Conclusions: Although APACHE II and SAPS II are good predictors of ICU mortality, they failed to predict survival after discharge. Surgical patients had a better prognosis than medical ICU patients.
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Fuchs et al. (2019) conducted an observational in Intensive care unit admission (n=905). SAPS II, APACHE II, and SOFA scores was evaluated on Unadjusted ICU and post-ICU discharge mortality rates.
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