Key result
The SAPS-3 score demonstrated satisfactory discriminative power for predicting 30-day mortality (AUC 0.754), whereas the SOFA score had lower predictive ability (AUC 0.631) in surgical ICU patients.
Why the study?
Individual risk in surgical patients is frequently underestimated without absolute criteria for ICU admission, prompting evaluation of the calibration power of SAPS-3 and SOFA scores and their relation to patient outcomes.
Do SAPS-3 and SOFA scores predict 30-day mortality in surgical patients undergoing gastrointestinal surgery?
Observational (n=233)
No
Do SAPS-3 and SOFA scores predict 30-day mortality in surgical patients undergoing gastrointestinal surgery?
SAPS-3 score is a better predictor of 30-day mortality than SOFA score in patients admitted to a gastroenterological surgical ICU.
Answers are grounded in this paper and cite their sources.
SAPS-3 may aid mortality prediction in surgical ICU; leaves open whether it improves outcomes over SOFA pending validation.
OBJECTIVES: Individual risk of surgical patients is more often underestimated and there is not an absolute criterion demonstrating which patient deserves intensive care. Since a nominative assessment of these patients to quantify the intensity of critical illness is not appropriate, prognostic scores are used to assess the mortality rate and prognosis for critical patients including surgical ones. This study aimed to test the calibration power of SAPS-3 score and SOFA score of surgical patients undergoing gastrointestinal surgery, and identify any relation with patient outcomes in the department of surgical ICU. MATERIAL AND METHODS: This retrospective observational study was conducted during the period between August 2017 and December 2017. It was performed at a Gastroenterological Surgical ICU, a tertiary care hospital in Ankara, Türkiye. To calculate SAPS-3 and SOFA score, physiological data and laboratory analysis on the day of ICU admission were used. Records were reviewed from hospitalization to medical discharge or hospital mortality. Statistical analysis included Mann Whitney U-test and ROC-curves to predict 30-day mortality. RESULTS: A total of 233 patients admitted to the Gastroenterological Surgical ICU were included into the study and the main reason for ICU admission was surgical problems. Mortality rate was 2.6 % (6 patients). Average SAPS -3 score was 32.5 and SOFA score was 30.1. A significant correlation was observed with the SAPS-3 score, but not with the SOFA score statistically in mortality as a dependent factor. The discriminative power, assessed using the AUC and the probability of death estimation, was satisfactory with the SAPS-3 scores (AUC 0.754) while it was lower with the SOFA score (AUC 0.631). CONCLUSION: We found that SAPS-3 score was significantly correlated not only with mortality rate, but also with LOS in the ICU. Nonetheless, SOFA score was not related to mortality, but related to LOS in the ICU. Prognostic score systems are used to estimate mortality but they may be used to identify LOS in the ICU and postoperative complications. It can be concluded that SAPS-3 and SOFA scores may be used to prognosticate postoperative ICU requirement.
No takes yet. Share an insight, caveat, or question.
Mungan et al. (2019) conducted an observational in Surgical patients undergoing gastrointestinal surgery (n=233). SAPS-3 and SOFA scores was evaluated on 30-day mortality (AUC 0.754 for SAPS-3; AUC 0.631 for SOFA). The SAPS-3 score demonstrated satisfactory discriminative power for predicting 30-day mortality (AUC 0.754), whereas the SOFA score had lower predictive ability (AUC 0.631) in surgical ICU patients.
Synapse has enriched 10 related papers. Consider them for comparative context: