ĐẶC ĐIỂM THANG ĐIỂM PHOENIX Ở BỆNH NHÂN NHIỄM TRÙNG HUYẾT KHOA CẤP CỨU BỆNH VIỆN NHI ĐỒNG 1

Abstract

Introduction: Sepsis is a severe, life-threatening disease. The development of the Phoenix score, a new definition of sepsis, plays an important role in predicting mortality. Objective: To describe the characteristics of the Phoenix score and its association with mortality outcome. Methods: A longitudinal observational study was conducted in patients (aged > 1 month) diagnosed with sepsis at the Emergency Department, Children’s Hospital 1, from April 2024 to June 2025. Results: A total of 143 sepsis patients were enrolled. The mortality rate was 16.1%. Among them, males accounted for 59.7%, and 67.2% were under 5 years old. The most common source of infection was gastrointestinal tract (47.6%). The median Phoenix score at admission was 3 (IQR 1–4) points. 105 cases met the Phoenix criteria, accounting for 73,4%. Higher Phoenix score is associated with an increased risk of mortality (p = 0,007). There were no deaths among patients with a Phoenix score below 2. In the non-survivor group, the distribution across the three Phoenix score categories (2–4, 4–6, and ≥ 6) were 39.1%, 39.1%, and 21.8%, respectively. Hematologic dysfunction is the most common but only neurological involvement is associated with mortality (RR, 3.5; p = 0.001). Conclusion: The Phoenix score is a useful tool for assessing the multi-organ dysfunction and predicting mortality