Comparison of the scoring systems for predicting mortality in intoxicated patients hospitalized to the icu: A prospective observational study Zehirlenme sonucu yoǧun bakıma yatırılan hastalarda mortaliteyi belirlemede skorlama sistemlerinin karşılaştırılması: Ileri dönük gözlemsel bir çalışma

SÖYÜNCÜ S., Bektaş F.

Erciyes Tip Dergisi, cilt.33, sa.1, ss.29-34, 2011 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 1
  • Basım Tarihi: 2011
  • Dergi Adı: Erciyes Tip Dergisi
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.29-34
  • Anahtar Kelimeler: Glasgow coma scale, Intoxication, Prognosis, Score systems
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Purpose: The aim of this study was to evaluate the power of various scoring systems (APACHE II, MEES, REMS, RAPS and GCS) in predicting prognosis of severely poisoned patients who require tracheal intubation. Material and Methods: This prospective observational study was conducted in an emergency department of a tertiary care hospital. The study population was chosen from the group of patients over 16 years of age who presented with intoxication to the emergency department and required tracheal intubation and intensive care unit admission in a 2-year period. APACHE II, MEES, REMS, RAPS, and GCS scores of the patients were calculated and compared. Results: A total of 30 (8%) patients were intubated and admitted to the intensive care unit during the study period. Twenty seven (90%) patients were discharged after intensive care unit treatment and 3 (10%) died. The APACHE II score was found to have the best AUC value (0.975, 95% CI: 0.841-0.993; p=0.0001) in predicting in-hospital mortality of study patients. Although the APACHE II scale has the highest AUC value, there was no statistically significant difference found between the five scales. Conclusion: Consequently, the RAPS and GCS scales should be used in severely intoxicated patients because of their comparative simplicity.