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January 1, 2019Clinical and Applied Thrombosis/HemostasisOpen Access

Usefulness of Measuring Changes in SOFA Score for the Prediction of 28-Day Mortality in Patients With Sepsis-Associated Disseminated Intravascular Coagulation

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Why the study?

While the primary endpoint for sepsis trials is 28-day mortality, additional methods for determining efficacy may be beneficial, prompting a search for a useful indicator of anticoagulant therapy in sepsis-associated DIC.

Does the change in SOFA score from baseline to day 7 predict 28-day mortality in patients with sepsis-associated disseminated intravascular coagulation?

Population

323 patients with sepsis with coagulopathy treated with antithrombin supplementation

Comparison

Changes in SOFA score vs overt-DIC score vs JAAM DIC score from baseline to day 7

Design

Retrospective analysis

Follow-up

28 days

Authors

TIToshiaki IbaJuntendo UniversityMAMakoto ArakawaTakeda (Japan)KMKatsunori MochizukiOsaka University of Pharmaceutical Sciences

Discussion

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Member takes

Implication

ΔSOFA or Δovert-DIC may indicate antithrombin response in sepsis-DIC; leaves open prospective validation before clinical use.

Structured PICO

Does the change in SOFA score from baseline to day 7 predict 28-day mortality in patients with sepsis-associated disseminated intravascular coagulation?

P
Population
323 patients with sepsis with coagulopathy (disseminated intravascular coagulation) treated with antithrombin supplementation
I
Intervention
Measurement of changes in Sequential Organ Failure Assessment (Δ SOFA) score, overt-DIC score, and JAAM DIC score from baseline to day 7
O
Outcome
28-day mortalityhard clinical

Changes in the SOFA score from baseline to day 7 are a strong predictor of 28-day mortality in patients with sepsis and disseminated intravascular coagulation.

Cite This Study

Iba et al. (2019) studied this question.

synapsesocial.com/papers/6a70c217febe604dd70984c4https://doi.org/10.1177/1076029618824044
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hematological Problems in Pediatric Intensive Care2013 · 3,516 citations
  2. 2The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐<scp>SSCG</scp>2016)2018 · 79 citations