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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 340 - 346 (7page)
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Background: The Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system and the Sequential Organ Failure Assessment (SOFA) scoring system are widely used for critically ill patients. We evaluated whether APACHE II score and SOFA score predict the outcome for trauma patients in the intensive care unit (ICU).
Methods: We retrospectively analyzed trauma patients admitted to the ICU in a single trauma center between January 2014 and December 2015. The APACHE II score was figured out based on the data acquired from the first 24 hours of admission; the SOFA score was evaluated based on the first 3 days in the ICU. A total of 241 patients were available for analysis. Injury Severity score, APACHE II score, and SOFA score were evaluated.
Results: The overall survival rate was 83.4%. The non-survival group had a significantly high APACHE II score (24.1 ± 8.1 vs. 12.3 ± 7.2, P < 0.001) and SOFA score (7.7 ± 1.7 vs. 4.3 ± 1.9, P < 0.001) at admission. SOFA score had the highest areas under the curve (0.904).
During the first 3 days, SOFA score remained high in the non-survival group. In the non-survival group, cardiovascular system, neurological system, renal system, and coagulation system scores were significantly higher.
Conclusions: In ICU trauma patients, both SOFA and APACHE II scores were good predictors of outcome, with the SOFA score being the most effective. In trauma ICU patients, the trauma scoring system should be complemented, recognizing that multi-organ failure is an important factor for mortality.
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참고문헌 (21)
참고문헌 신청
Antonelli M / 1999 / Application of SOFA score to trauma patients: Sequential Organ Failure Assessment / Intensive Care Med 25 : 389 ~ 394
Baker SP / 1976 / The Injury Severity score: an update / J Trauma 16 : 882 ~ 885
Boyd CR / 1987 / Evaluating trauma care: the TRISS method--Trauma Score and the Injury Severity score / J Trauma 27 : 370 ~ 378
Champion HR / 1996 / Improved predictions from a severity characterization of trauma (ASCOT) over Trauma and Injury Severity score (TRISS): results of an independent evaluat
Chawda MN / 2004 / Predicting outcome after multiple trauma: which scoring system? / Injury 35 : 347 ~ 358
Baker SP / 1976 / The Injury Severity score: an update / J Trauma 16 : 882 ~ 885
Boyd CR / 1987 / Evaluating trauma care: the TRISS method--Trauma Score and the Injury Severity score / J Trauma 27 : 370 ~ 378
Champion HR / 1996 / Improved predictions from a severity characterization of trauma (ASCOT) over Trauma and Injury Severity score (TRISS): results of an independent evaluat
Chawda MN / 2004 / Predicting outcome after multiple trauma: which scoring system? / Injury 35 : 347 ~ 358
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