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| Predictive value of SOFA score on 30-day mortality in critically ill patients |
| Gan Jun-ying, Xu He-ping, Wu Kai-fang, Chen Yun-mei, Ye Xiao-juan |
| Department of Longhua Emergency, Hainan General Hospital, Haikou 570000, China |
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Abstract Objective To assess the predictive value of SOFA scores for 30-day mortality in critically ill patients in emergencies. Methods The critically ill patients who were admitted to the emergency department of Hainan Provincial People′s Hospital from October 2016 to October 2017 were collected and their medical history and basic clinical characteristics were collected. The scores were determined according to the definition of the SOFA scoring system. Finally, the predicted value of the SOFA score for the 30-day mortality of critically ill patients was calculated, and the relationship between the patient′s SOFA score and mortality was evaluated. Results The mean overall SOFA score was (7.13±2.36)points (minimum 2 points, maximum 16 points), and 117 (84.12%) patients scored between 4 and 10. 72 patients (51.43%) died within 30 days, 16 patients (11.43%) had multiple organ failure, 6 patients (4.29%) developed renal failure, 1 patient (0.71%) had heart failure, and 9 patients (6.43%) had neurological damage. The area under the SOFA score ROC curve predicted a mortality rate of 0.73 (95%CI 0.65～0.81). The sensitivity and specificity of SOFA scores for 30-day mortality in critically ill patients were 75.00% and 63.23%, respectively, when the cut-off value was 7 or higher. Conclusion The SOFA scoring system is quite accurate in predicting 30-day mortality in critically ill patients.
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Corresponding Authors:
Xu He-ping, E-mail: 1409156974@qq.com
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