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2 "Dae Sung Ma"
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Original Article
Trauma
Acute Physiology and Chronic Health Evaluation II Score and Sequential Organ Failure Assessment Score as Predictors for Severe Trauma Patients in the Intensive Care Unit
Min A Lee, Kang Kook Choi, Byungchul Yu, Jae Jeong Park, Youngeun Park, Jihun Gwak, Jungnam Lee, Yang Bin Jeon, Dae Sung Ma, Gil Jae Lee
Korean J Crit Care Med. 2017;32(4):340-346.   Published online November 30, 2017
DOI: https://doi.org/10.4266/kjccm.2017.00255
  • 7,873 View
  • 170 Download
  • 7 Web of Science
  • 4 Crossref
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • Cell-free DNA as diagnostic and prognostic biomarkers for adult sepsis: a systematic review and meta-analysis
    Awirut Charoensappakit, Kritsanawan Sae-khow, Pongpera Rattanaliam, Nuntanuj Vutthikraivit, Monvasi Pecheenbuvan, Suwasin Udomkarnjananun, Asada leelahavanichkul
    Scientific Reports.2023;[Epub]     CrossRef
  • Evaluation of the sequential organ failure assessment score and newly introduced criteria – Traumasis - in traffic collision patients
    Sion Jo, Taeoh Jeong, Boyoung Park
    The American Journal of Emergency Medicine.2022; 51: 98.     CrossRef
  • Predictive value of Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for the short-term prognosis of emergency trauma patients: a retrospective study
    Zhejun Yu, Feng Xu, Du Chen
    BMJ Open.2021; 11(3): e041882.     CrossRef
  • Risk factors for abdominal surgical site infection after exploratory laparotomy among combat casualties
    Joseph D. Bozzay, Patrick F. Walker, David W. Schechtman, Faraz Shaikh, Laveta Stewart, M. Leigh Carson, David R. Tribble, Carlos J. Rodriguez, Matthew J. Bradley
    Journal of Trauma and Acute Care Surgery.2021; 91(2S): S247.     CrossRef
Case Report
Cardiology/Allergy
Management of Cardiac Arrest following Anaphylactic Reaction to Cisatracurium Using Extracorporeal Membrane Oxygenation
Dae Sung Ma, Tae-Hyun Kim, Min Ae Keum, Dong Kwan Kim, Suk-Kyung Hong
Korean J Crit Care Med. 2015;30(1):42-45.   Published online February 28, 2015
DOI: https://doi.org/10.4266/kjccm.2015.30.1.42
  • 11,360 View
  • 112 Download
  • 1 Crossref
AbstractAbstract PDF
Anaphylactic reaction during the perioperative period typically exhibits rapid onset, varying clinical manifestations, and an expected mortality rate of 1.5-9%. Neuromuscular blocking agents are the leading cause of perioperative anaphylaxis. Here, we report a severe case of anaphylaxis that developed in a 66-year-old man due to cisatracurium administration. And he was successfully managed by extracorporeal membrane oxygenation. Cardiopulmonary resuscitation was performed by extracorporeal membrane oxygenation, and the patient was successfully weaned off 24 hours later.

Citations

Citations to this article as recorded by  
  • Case report: management of differential diagnosis and treatment of severe anaphylaxis in the setting of spinal anesthesia
    Brian M. Osman, Joni M. Maga, Sebastian M. Baquero
    Journal of Clinical Anesthesia.2016; 35: 145.     CrossRef

ACC : Acute and Critical Care