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KMID : 0371320090760050273
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Journal of the Korean Surgical Society
2009 Volume.76 No. 5 p.273 ~ p.278
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Usefulness of the Sequential Organ Failure Assessment (SOFA) Score in Patients with Sepsis due to Intra-abdominal Infection
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Choi Won-Ho
Hwang Seong-Youn
Jun Si-Youl
Choi Young-Cheol
Lee Eun-Hun
Yu Wan-Sik
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Abstract
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Purpose: To determine the usefulness of the Sequential Organ Failure Assessment (SOFA) score for prediction of mortality in operated patients with sepsis due to intra-abdominal infection.
Methods: Eighty?eight septic patients operated on from January 2004 to June 2008 were evaluated retrospectively. The SOFA scores were measured four times in each patient: initial score, post?op (post?operation) score, POD1 (first post?operative day) score, and POD2 (second post?operative day) score. The maximum score and mean score were obtained from these measurements. These scores were compared between groups of patients classified by mortality. D scores (D0, D1, D2) reflecting the differences between subsequent scores were compared between the surviving group and deceased group according to re?operation.
Results: The initial, post-op, POD1, POD2, maximum, and mean scores showed statistically significant differences between the surviving group and deceased group. D1 and D2 showed statistically significant differences between surviving group and deceased group.
Conclusions:The sequential measurement of SOFA score is a useful prediction system for patients with sepsis due to intra?abdominal infection.
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KEYWORD
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Sepsis, Intra-abdominal, Infection, Mortality
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