Valor Pronóstico de la escala SOFA en pacientes quirúrgicos graves

Authors

  • Rebeca Iracema Delgado Fernández Hospital Joaquín Albarrán Domínguez
  • Amilkar Colas González
  • Anabel Hernández Ruiz
  • José Antonio Hernández Varea
  • Gaspar Rafael Alcalde Mustelier

Abstract

RESUMEN

Fundamento: la escala SOFA(Acute Organ System Failure)es un sistema sencillo para identificar la disfunción o fracaso de órganos fundamentales.
Objetivo: determinar el valor predictivo del SOFA en la mortalidad de pacientes quirúrgicos.
Método: se realizó un estudio descriptivo y prospectivo en 173 pacientes quirúrgicos ingresados en la Unidad de Cuidados Intensivos del Hospital Joaquín Albarrán Domínguez durante el 2013.
Resultados: el SOFA aplicado a las 24 y 48 horas mostró un alto poder discriminante con valores de 0, 85 y 0, 95 bajo la curva ROC, respectivamente y un adecuado porcentaje de acierto con el 76, 9% para punto de corte > =2 y 91, 4% para punto de corte > =3 respectivamente.
Conclusiones: la escala SOFA fue útil para predicción de mortalidad en pacientes quirúrgicos sobre todo a las 48 horas donde hubo mejor porcentaje de aciertos y poder discrimina.

ABSTRACT

Background: SOFA score (Sequential Organ Failure Assessment score) is a simple system to determine the dysfunction or failure of fundamental organs.
Objective: to determine the predictive value of SOFA in the mortality of surgical patient.
Methods: a descriptive and prospective study was conducted in 173 surgical patients admitted in the Intensive Care Unit of Joaquín Albarrán Domínguez Hospital during the year 2013.
Results: SOFA score, applied 24 and 48 hours after the patients were admitted, showed a high discriminating power (values of 0, 85 and 0, 95 under the ROC curve, respectively) and an adequate rate of success with a 76, 9 % for a cut-point > =2 and a 91, 4 % for a cut-point > =3 respectively.
Conclusions: SOFA score was useful for predicting the mortality of surgical patients mainly 48 hours after the patients were admitted when there was a better rate of success and discriminating power.

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Published

2015-06-23

How to Cite

1.
Delgado Fernández RI, Colas González A, Hernández Ruiz A, Hernández Varea JA, Alcalde Mustelier GR. Valor Pronóstico de la escala SOFA en pacientes quirúrgicos graves. Arch méd Camagüey [Internet]. 2015 Jun. 23 [cited 2025 Jul. 22];19(5):441-9. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/3873

Issue

Vol. 19 No. 5 (2015)

Section

Original Articles

License

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