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Izvorni znanstveni članak
https://doi.org/10.22514/SV151.042019.6

Using age, arterial lactate level and sequential organ failure assessment score in risk stratification of sepsis syndromes

AMR ELMORSI ; Critical Care Medicine Department – Alexandria University, 22 El-Geish AvenueEl-Shatby, Alexandria, EGYPT
AMR DAHROUG
ENAL FAHMY
ISLAM AHMED

Puni tekst: engleski, pdf (211 KB) str. 46-50 preuzimanja: 58* citiraj
APA 6th Edition
ELMORSI, A., DAHROUG, A., FAHMY, E. i AHMED, I. (2019). Using age, arterial lactate level and sequential organ failure assessment score in risk stratification of sepsis syndromes. Signa vitae, 15 (1), 46-50. https://doi.org/10.22514/SV151.042019.6
MLA 8th Edition
ELMORSI, AMR, et al. "Using age, arterial lactate level and sequential organ failure assessment score in risk stratification of sepsis syndromes." Signa vitae, vol. 15, br. 1, 2019, str. 46-50. https://doi.org/10.22514/SV151.042019.6. Citirano 18.11.2019.
Chicago 17th Edition
ELMORSI, AMR, AMR DAHROUG, ENAL FAHMY i ISLAM AHMED. "Using age, arterial lactate level and sequential organ failure assessment score in risk stratification of sepsis syndromes." Signa vitae 15, br. 1 (2019): 46-50. https://doi.org/10.22514/SV151.042019.6
Harvard
ELMORSI, A., et al. (2019). 'Using age, arterial lactate level and sequential organ failure assessment score in risk stratification of sepsis syndromes', Signa vitae, 15(1), str. 46-50. https://doi.org/10.22514/SV151.042019.6
Vancouver
ELMORSI A, DAHROUG A, FAHMY E, AHMED I. Using age, arterial lactate level and sequential organ failure assessment score in risk stratification of sepsis syndromes. Signa vitae [Internet]. 2019 [pristupljeno 18.11.2019.];15(1):46-50. https://doi.org/10.22514/SV151.042019.6
IEEE
A. ELMORSI, A. DAHROUG, E. FAHMY i I. AHMED, "Using age, arterial lactate level and sequential organ failure assessment score in risk stratification of sepsis syndromes", Signa vitae, vol.15, br. 1, str. 46-50, 2019. [Online]. https://doi.org/10.22514/SV151.042019.6

Sažetak
Introduction: In low income countries, ICU places are limited and not all sepsis patients will benefit from ICU admission. Stratification is an important step to identify patients who require ICU treatment from patients who can be treated on general ward setting. Improper stratification results in increased length of stay, costs, morbidity and mortality.
Objective: The aim of this study was to stratify the risk of mortality in patients with sepsis syndrome using age, arterial lactate level and SOFA score.
Methods: In this prospective observational study, 250 patients with sepsis were enrolled and followed up until discharge. They were categorized into 2 groups according to 7-days mortality.
Results: SOFA score (≥5) was the only good tool (AUC=0.722) while age (≥65 years) (AUC=0.650) and arterial lactate (≥3.25 mmol/L) (0.690) were fair tools to predict 7-days mortality. A new score “ALSOFA score” (≥10) was an excellent tool for prediction (AUC =0.912, 95%CI: 0.851 to 0.940, p<0.0001). It showed an excellent sensitivity (90.9%) and specificity (85.1%).
Conclusion: In critically ill patients with sepsis syndromes, age, arterial lactate and SOFA score are fair tools of stratification. No single marker/score can be used alone to stratify such patients.

Ključne riječi
Emergency; Critical; Sepsis; SOFA; Arterial Lactate; Stratification

Hrčak ID: 219764

URI
https://hrcak.srce.hr/219764

Posjeta: 105 *