Automating and simplifying the SOFA score in critically ill patients with cancer.

Published

Journal Article

The aim was to demonstrate the performance of a modified version of the Sequential Organ Failure Assessment (SOFA) score to predict mortality in medical and surgical patients with cancer. We performed an electronic retrospective review of databases. We included adult patients with cancer admitted into a 53-bed ICU over 28 months. We electronically calculated a modified SOFA (mSOFA) score at admission. A majority of the patients were admitted into the surgical ICU. Of 328 nonsurvivors, 85.1 per cent were medical patients and only 14.9 per cent surgical patients. The mean admission mSOFA scores for medical and surgical patients were 4.7 +/- 3.2 and 1.7 +/- 1.9, respectively. The overall area under the curve (AUC) of the mSOFA score was 0.84. The AUCs for medical and surgical patients were 0.72 and 0.78, respectively. Our results demonstrate that electronic assessment of mSOFA score has potential in resource allocation decisions as well as in critical care outreach programs.

Full Text

Cited Authors

  • Nates, JL; Cárdenas-Turanzas, M; Wakefield, C; Kish Wallace, S; Shaw, A; Samuels, JA; Ensor, J; Price, KJ

Published Date

  • March 2010

Published In

Volume / Issue

  • 16 / 1

Start / End Page

  • 35 - 47

PubMed ID

  • 20413411

Pubmed Central ID

  • 20413411

Electronic International Standard Serial Number (EISSN)

  • 1741-2811

Digital Object Identifier (DOI)

  • 10.1177/1460458209353558

Language

  • eng

Conference Location

  • England