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2 "Jungnam Lee"
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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
  • 7,920 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
Trauma
Mortality and Morbidity in Severely Traumatized Elderly Patients
Byungchul Yu, Min Chung, Giljae Lee, Jungnam Lee
Korean J Crit Care Med. 2014;29(2):88-92.   Published online May 31, 2014
DOI: https://doi.org/10.4266/kjccm.2014.29.2.88
  • 4,606 View
  • 61 Download
  • 4 Crossref
AbstractAbstract PDF
Background
As the population ages, the elderly will constitute a prominent proportion of trauma patients. The elderly suffer more severe outcomes from injuries compared with the young. In this study, we examined the relationship between mortality and complications with age.
Methods
This study was a retrospective review of 256 major trauma patients (Injury Severity Score > 15) admitted to an emergency center over a two- year period. Age-dependent mortality and complications were evaluated.
Results
Of 256 patients, 209 (81.6%) were male and the mean age was 47.2 years. There was a trend between increasing age and increasing mortality, but this was not statistically significant. Increasing age was correlated with frequency of complications.
Conclusions
Age was confirmed to be an independent predictor of mortality in major trauma. We documented that elderly trauma patients suffer from complications more frequently compared with their younger counterparts. Appropriate and specific triage and management guidelines for elderly trauma patients are needed.

Citations

Citations to this article as recorded by  
  • Predicting mortality in elderly trauma patients: a review of the current literature
    Jarva Chow, Catherine M. Kuza
    Current Opinion in Anaesthesiology.2022; 35(2): 160.     CrossRef
  • Activities of Daily Living and Determinant Factors among Older Adult Subjects with Lower Body Fracture after Discharge from Hospital: A Prospective Study
    Nurul Izzah Ibrahim, Mohd Sharkawi Ahmad, Mohamed S Zulfarina, Sharifah Nurul Aqilah Sayed Mohd Zaris, Isa Naina Mohamed, Norazlina Mohamed, Sabarul Afian Mokhtar, Ahmad Nazrun Shuid
    International Journal of Environmental Research and Public Health.2018; 15(5): 1002.     CrossRef
  • Geriatric Trauma Protocol
    Renee Cortez
    Journal of Trauma Nursing.2018; 25(4): 218.     CrossRef
  • Predictive Factors of Dependency in Activities of Daily Living Following Limb Trauma in the Elderly
    Azade Safa, Negin Masoudi Alavi, Masoumeh Abedzadeh-Kalahroudi
    Trauma Monthly.2016;[Epub]     CrossRef

ACC : Acute and Critical Care