SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?

GÜLLEROĞLU, Aykan; Demiraran, Yavuz; BİÇER, İlhan GÜney; KARABAY, Ayşe Gül; KORKMAZ TOKER, Melike

doi:10.5505/tjtes.2018.22866

SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?

Melike Korkmaz Toker, (Muğla Sıtkı Koçman Üniversitesi, Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Muğla, Türkiye)

Aykan Gülleroğlu, (Başkent Üniversitesi, Ankara Hastanesi, Anesteziyoloji ve Yoğun Bakım Anabilim Dalı, Ankara, Türkiye)

Ayşe Gül Karabay, (Ota-Jine Med Hastanesi, Anesteziyoloji Kliniği, İstanbul, Türkiye)

İlhan Güney Biçer, (Osmaniye Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Osmaniye, Türkiye)

Yavuz Demiraran (Medipol Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reaniamasyon Anabilim Dalı, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2019 Cilt: 25 Sayı: 3 Sayfa Aralığı: 247 - 252 Metin Dili: İngilizce DOI: 10.5505/tjtes.2018.22866 İndeks Tarihi: 12-06-2020

SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?

Öz:

BACKGROUND: The aim of the present study was to evaluate the effectiveness of the Simplified Acute Physiology Score (SAPS)III and the Acute Physiology and Chronic Health Evaluation (APACHE) IV in the prediction of in-hospital mortality in surviving multitrauma patients.METHODS: This study was conducted in the 13-bed intensive care unit (ICU) of a tertiary hospital. A retrospective review of multitrauma patients whose care was managed in the ICU was performed. Data collection included details of age, gender, ICU admission, andoutcome. APACHE IV and SAPS III scores, as well as the predicted mortality rate (PMR), were calculated using web-based calculators.RESULTS: Of the 90 patients 20% (n=18) were female and 80% (n=72) were male. The overall mortality rate was 25.6%. The meanAPACHE IV, Acute Physiology Score (APS) and SAPS III score was 69.27±34.51, 66.42±33.72, and 26.36±27.14, respectively. The meanPMR according to the APACHE IV and the SAPS III was 26.36±27.14 and 17.07±24.88, respectively. The area under the curve result ofreceiver operating characteristic curve analysis was 0.87 for the APACHE IV and 0.93 for the SAPS III.CONCLUSION: The performance of the SAPS III was more sensitive and discriminative than the APACHE IV scoring system formulti-trauma ICU patients.

Anahtar Kelime:

Yoğun bakımdaki akut travma hastalarında hangi skoru seçmeliyiz: SAPS III mü, APACHE IV mü?

Öz:

AMAÇ: Çalışmanın amacı, hayatta kalan çoklu travma hastalarında basitleştirilmiş akut fizyoloji skoru (SAPS) III ve akut fizyoloji ve kronik sağlık değerlendirmesi (APACHE) IV’ün mortaliteyi öngörmedeki etkinliğini değerlendirmektir. GEREÇ VE YÖNTEM: Bu çalışma üçüncü basamak bir hastanenin 13 yataklı yoğun bakım ünitesinde (YBÜ) gerçekleştirildi. YBÜ’de tedavi edilen çoklu travma hastalarının geriye dönük bir incelemesi yapıldı. Toplanan veriler yaş, cinsiyet, yoğun bakım kabul ve yoğun bakımdaki sonuçları içeriyordu. APACHE IV, SAPS III ve öngörülen mortalite oranı web tabanlı bir hesap makinasıyla hesaplandı. BULGULAR: Doksan hastanın %20’si (n=18) kadın, %80’i (n=72) erkekti. Genel mortalite oranı %25.6 idi. APACHE IV, APS ve SAPS III puan ortalamaları 69.27±34.51, 66.42±33.72 ve 26.36±27.14 bulundu. APACHE IV ve SAPS III’e göre ortalama öngörülen mortalite oranı 26.36±27.14 ve 17.07±24.88 idi. Eğrinin altındaki alan (EAA) sırasıyla APACHE IV ve SAPS III için 0.87, 0.93 idi. TARTIŞMA: Çoklu travmalı yoğun bakım hasta grubunda, SAPS III’ün performansı APACHE IV skoruna göre daha hassas ve ayırt edicidir

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KORKMAZ TOKER M, GÜLLEROĞLU A, KARABAY A, BİÇER İ, Demiraran Y (2019). SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. , 247 - 252. 10.5505/tjtes.2018.22866
Chicago	KORKMAZ TOKER Melike,GÜLLEROĞLU Aykan,KARABAY Ayşe Gül,BİÇER İlhan GÜney,Demiraran Yavuz SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. (2019): 247 - 252. 10.5505/tjtes.2018.22866
MLA	KORKMAZ TOKER Melike,GÜLLEROĞLU Aykan,KARABAY Ayşe Gül,BİÇER İlhan GÜney,Demiraran Yavuz SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. , 2019, ss.247 - 252. 10.5505/tjtes.2018.22866
AMA	KORKMAZ TOKER M,GÜLLEROĞLU A,KARABAY A,BİÇER İ,Demiraran Y SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. . 2019; 247 - 252. 10.5505/tjtes.2018.22866
Vancouver	KORKMAZ TOKER M,GÜLLEROĞLU A,KARABAY A,BİÇER İ,Demiraran Y SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. . 2019; 247 - 252. 10.5505/tjtes.2018.22866
IEEE	KORKMAZ TOKER M,GÜLLEROĞLU A,KARABAY A,BİÇER İ,Demiraran Y "SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?." , ss.247 - 252, 2019. 10.5505/tjtes.2018.22866
ISNAD	KORKMAZ TOKER, Melike vd. "SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?". (2019), 247-252. https://doi.org/10.5505/tjtes.2018.22866

APA	KORKMAZ TOKER M, GÜLLEROĞLU A, KARABAY A, BİÇER İ, Demiraran Y (2019). SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. Ulusal Travma ve Acil Cerrahi Dergisi, 25(3), 247 - 252. 10.5505/tjtes.2018.22866
Chicago	KORKMAZ TOKER Melike,GÜLLEROĞLU Aykan,KARABAY Ayşe Gül,BİÇER İlhan GÜney,Demiraran Yavuz SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. Ulusal Travma ve Acil Cerrahi Dergisi 25, no.3 (2019): 247 - 252. 10.5505/tjtes.2018.22866
MLA	KORKMAZ TOKER Melike,GÜLLEROĞLU Aykan,KARABAY Ayşe Gül,BİÇER İlhan GÜney,Demiraran Yavuz SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. Ulusal Travma ve Acil Cerrahi Dergisi, vol.25, no.3, 2019, ss.247 - 252. 10.5505/tjtes.2018.22866
AMA	KORKMAZ TOKER M,GÜLLEROĞLU A,KARABAY A,BİÇER İ,Demiraran Y SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. Ulusal Travma ve Acil Cerrahi Dergisi. 2019; 25(3): 247 - 252. 10.5505/tjtes.2018.22866
Vancouver	KORKMAZ TOKER M,GÜLLEROĞLU A,KARABAY A,BİÇER İ,Demiraran Y SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?. Ulusal Travma ve Acil Cerrahi Dergisi. 2019; 25(3): 247 - 252. 10.5505/tjtes.2018.22866
IEEE	KORKMAZ TOKER M,GÜLLEROĞLU A,KARABAY A,BİÇER İ,Demiraran Y "SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?." Ulusal Travma ve Acil Cerrahi Dergisi, 25, ss.247 - 252, 2019. 10.5505/tjtes.2018.22866
ISNAD	KORKMAZ TOKER, Melike vd. "SAPS III or APACHE IV: Which score to choose for acute trauma patients in intensive care unit?". Ulusal Travma ve Acil Cerrahi Dergisi 25/3 (2019), 247-252. https://doi.org/10.5505/tjtes.2018.22866