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August 1, 2002Critical Care Medicine

Comparison of multiple organ dysfunction scores in the prediction of hospital mortality in the critically ill*

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Why the study?

How do different multiple organ dysfunction scores compare in predicting hospital mortality in critically ill patients?

Population

520 critically ill patients admitted to a medical-surgical intensive care unit who stayed >4 hours

Comparison

Multiple organ dysfunction scores vs Comparison between the different scoring systems

Design

Cohort

Follow-up

Until hospital discharge or death

Authors

VPVille PettiläUniversity of BernMPMarkus PettiläUniversity of HelsinkiSSSeppo SarnaUniversity College London Hospitals NHS Foundation Trust

Discussion

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Implication

Comparable organ dysfunction scores support risk adjustment in research; leaves open optimal choice for clinical prognostication.

Structured PICO

How do different multiple organ dysfunction scores compare in predicting hospital mortality in critically ill patients?

P
Population
520 critically ill patients admitted to a medical-surgical intensive care unit who stayed >4 hours
I
Intervention
Multiple organ dysfunction scores (APACHE III, Multiple Organ Dysfunction Score, Logistic Organ Dysfunction score, and Sequential Organ Failure Assessment score)
C
Comparator
Comparison between the different scoring systems
O
Outcome
Hospital mortalityhard clinical

Day-1, daily maximum, and total maximum multiple organ dysfunction scores have comparable and good discriminative power for predicting hospital mortality in critically ill patients.

Cite This Study

Pettilä et al. (2002) studied this question.

synapsesocial.com/papers/6a7bf024d27879525375ff04https://doi.org/10.1097/00003246-200208000-00005
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