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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versión impresa ISSN 2448-8909
Resumen
ICHIEN BARRERA, Diego Toshiaki; PACHECO AMBRIZ, Daniel y REYES DIAZ, Denis Jesús. Effectiveness of three forecast mortality scales in the Intensive Care Unit of HGR No. 20. Med. crít. (Col. Mex. Med. Crít.) [online]. 2022, vol.36, n.2, pp.101-106. Epub 18-Nov-2022. ISSN 2448-8909. https://doi.org/10.35366/104872.
Introduction:
The intensive care unit (ICU) is the hospital area in the which is responsible for the comprehensive medical care of patients in critical condition which have high chances of recovery; the prognostic scales of mortality function as objective and standardized indicators for categorization of patients in terms of severity in this way standardize your admission to these units, as well as evaluating the effectiveness and quality of our work as doctors in these ICUs.
Objective:
To determine which is the most effective mortality prognostic scale for the ICU of the HGR No. 20.
Material and methods:
A descriptive, cross-sectional, retrospective study was carried out. Comparative in the ICU of HGR No. 20, during the period from 1° January to December 31, 2016. Three forecast scales of mortality APACHE II, SAPS II, SOFA, the efficacy of the prognosis of mortality given by each scale and the results were compared between the three scales. Statistical analysis was performed by descriptive statistical mean, frequencies, measures of central tendency, frequencies for qualitative variables. Statistics nonparametric with χ2 for bivariate analysis, correlation test of Kendall and linear regression, plotting with ROC curve.
Results:
244 records of patients admitted to the ICU were analyzed, the following data were found 174 survivors and 70 deaths for a 28.7% mortality; with a mean age of 44.64 SD ± 17.9; by gender 134 of female and 110 male; being the main cause of admission to patients postsurgical 73 (29.9%) and patients with sepsis or septic shock 54 (22.1%); in regarding the scales, you predict the correlation APACHE II-SAPS II 0.784, APACHE II vs SOFA 0.761, SOFA vs SAPS II 0.723. and in SOFA linear regression with a coefficient of B 0.208 and β 0.642.
Conclusion:
There is a correlation between higher real mortality as increases the score with respect to the APACHE scale and SAPS II. Performing the linear regression we can say that SOFA has greater susceptibility to the other APACHE II and SAPS II prognostic scales. With a 95% CI.
Palabras llave : Mortality; Intensive Care Unit; prognostic mortality scales.
