Anesthesia & Clinical Research
Open Access

Abstract

Comparative Validity Sequential Scoring System Organ Failure Assesment (SOFA) and Quick - Sequential Organ Failure Assesment (qSOFA) on Estimating Mortality for Patients Treated in the Intensive Care Unit of Sanglah General Hospital

I Wayan Aryabiantara, Made Wiryana, Ketut Sinardja, Tjokorda Gde Agung Senapathi, I Made Gde Widnyana, Putu Agus Surya Panji, I Gusti Putu Sukrana Sidemen and Adinda Putra Pradhana

Objectives: The purpose of this study was to assess that qSOFA validity is equal with SOFA as the predictor of mortality, both in sepsis and nonsepsis patients.

Design: Diagnostic test with a retrospective design.

Setting: Intensive Care Unit in Sanglah General Hospital, Bali. Indonesia.

Subjects: Patients admitted to the ICU Sanglah General Hospital, from July 2015 to December 2016 (n=192), that have complete data and able to be evaluated with SOFA score.

Interventions: None

Measurement and Main Results: With the total population sampling techniques, 192 patients have met the criteria as the samples. The descriptive statistical analysis were performed, and the area under the ROC curve (AuROC) were used. The cutoff points will also be determined and will conclude the sensitivity and specificity of each score. From the 192 patients, the cutoff point for the SOFA and qSOFA are 11 and 2. While the AuROC from SOFA and qSOFA are 0.9307 and 0.9241, with p=0.7037 (95% confidence interval).

Conclusion: In this study, we conclude that the validity of qSOFA is equal to SOFA, both in sepsis and nonsepsis. So, for the reasons of efficiency and effectiveness, qSOFA can be used to replace SOFA score in predicting mortality in ICU.