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

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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, P237 (2002). https://doi.org/10.1186/cc1704

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Keywords

  • Intensive Care Unit
  • Sequential Organ Failure Assessment
  • Intensive Care Unit Mortality
  • Sofa Score
  • Neurological Patient