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THE VALUE OF THE APACHE IV AND SOFA SCORING SYSTEMS IN ASSESSING SEVERITY AND PREDICTING MORTALITY IN PATIENTS WITH SEPSIS TREATED AT THE BACH MAI HOSPITAL’S INTENSIVE CARE UNIT
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Abstract
Assessing the prognostic factors for mortality in patients with sepsis is crucial for enabling clinicians to develop optimal treatment strategies aimed at improving patient outcomes. However, there is limited data comparing the mortality predictions of the APACHE IV and SOFA scoring systems specifically for patients with sepsis. Therefore, to evaluate the prognostic effectiveness of the SOFA and APACHE IV scores in predicting mortality among patients with sepsis, we conducted a cross-sectional study involving 250 patients. The results: The SOFA score of the non-survivors was 12 (9 - 14), while those of survivor group was 9 (7 - 12). The corresponding APACHE IV scores were 84 (66 - 104) for the non-survivors and 63 (49 - 84). for the survivor goup. There is a positive correlation between the two scoring systems (p=0.000). There is an negative correlation between the length of stay in the ICU and the two scoring systems. The SOFA score had an area under the ROC curve (AUC) of 0.656, whereas the APACHE IV had a higher AUC of 0.713. In conclusion: Both SOFA and APACHE IV scores are valuable in predicting mortality, with the APACHE IV score demonstrating a higher predictive capacity.
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Keywords
APACHE, SOFA, ICU, septic shock
References
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