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Application of SOFA score to neurological patients admitted to intensive care unit

Objective

To assess the ability of the SOFA score (Sequential Organ Failure Assessment) to discriminate outcome in neurological patients admitted to intensive care unit (ICU).

Setting

A 24-bed general ICU in a 260-bed public hospital.

Methods

We prospectively followed (from May to September 2001) neurological patients admitted to our ICU measuring daily SOFA score throughout the first 7-day ICU stay and recording the 28-day mortality. We compared median scores between survivors and non-survivors (Mann-Whitney U-test) and calculated risk relative of death. Admission APACHE II score was calculated for each patient.

Results

We studied 45 patients (29 M/16 F). The mean age was 47.8 ± 13.2 years and mean APACHE II was 14.2 ± 5.1. The mean LOS was 12.8 ± 8.3 days. The 28-day ICU mortality was 31% (n = 14).The best cut-off value of SOFA score was 7. Clinical diagnosis at admission were: intracerebral haematoma (n = 14), extradural haematoma (n = 9), subarachnoid hemorrhage (n = 7), brain swelling (n = 5), subdural haematoma (n = 4), gun shot injury (n = 3), diffuse axonal lesion (n = 2), meningitis (n = 1).

Conclusions

SOFA score can be used to discriminate outcome in neurological patients admitted in ICU.

Table 1 Comparison between median SOFA score in survivors and non-survivors
Table 2 Risk relative of death on days 0, 1, 2 and 7

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Abrahão, L., De Marco, F., Maciel, F. et al. Application of SOFA score to neurological patients admitted to intensive care unit. Crit Care 6 (Suppl 1), P237 (2002). https://doi.org/10.1186/cc1704

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  • DOI: https://doi.org/10.1186/cc1704

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