Reanimasyon Yoğun Bakım Ünitesinde Hastalık Şiddet Skorları İle Mortalite İlişkisi


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Aydın Ö., Aydın T. , Aydın G. G. , Dede F. G.

V. Uluslararası Sağlıkta Performans ve Kalite Kongresi, Antalya, Turkey, 20 - 22 November 2014, vol.2, pp.73-82

  • Publication Type: Conference Paper / Full Text
  • Volume: 2
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.73-82

Abstract

Abstract We aimed to compare the mortality discriminating power of SAPS II and APACHE II scoring systems in patients of Anesthesiology and Reanimation unit in Eskisehir Yunus Emre Government Hospital. Patients (n=69) who were treated in intensive care unit for more than 24 hours were enrolled into the study. Their cards were analyzed retrospectively. APACHE II and SAPS scores, expected mortality rates and standardized mortality rates of patients were calculated according to the physiologic data deviating from normal values over the first 24 hours. The discriminative powers of the scores for mortality of were evaluated by ROC analysis and the sensitivity, specificity, and cut-off values were determined. The demographic findings, intensive care unit length of stay, need for mechanical ventilation, mechanical ventilation time, post-CPR status, services that they were transferred to Intensive Care Unit, diagnosis are recorded, and the difference between alive and death patients were measured. Discriminative power of the two scoring systems for mortality did not differ significantly. However, for the designated cut-off values, APACHE II was very sensitive for distinguishing the level of mortality (94.44%); and SAPS II was sensitive (78.79%). SMO value of APACHE II (0.92) was lower than, SAPS II (1.19). We concluded that using APACHE II score system in Intensive Care Unit is more convenient over SAPS II, due to high sensitive predictability for mortality and good SMO levels. Key Words: Mortality, APACHE II, Reanimation Intensive Care Unit