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KMID : 0385920120230060825
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Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 6 p.825 ~ p.830
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The Prognostic Abilities of Severity Scoring Systems for Patients with Septic Shock
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Lee Hyoung-Ju
Chung Tae-Nyoung
Lee Jae-Young
Bae Jin-Kun
Kim Eui-Chung
Choi Sung-Wook
Kim Ok-Jun
Cho Yun-Kyung
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Abstract
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Purpose: The aim of the study was to validate abbreviated mortality in emergency department sepsis (MEDS) scoring system by comparing it with original MEDS score and to assess the prognostic value of other prognostic factor for sepsis patients including multiple organ dysfunction score (MODS), sepsis-related organ failure assessment (SOFA) score, and serum procalcitonin level.
Methods: Adult patients visiting emergency department (ED) with evidence of septic shock were enrolled to the
study. MEDS score, MODS, and SOFA score were calculated based on initial clinical data. Receiver-operating characteristics (ROC) analyses were used to assess the prognostic factors for predicting mortality. Kaplan-Meier survival analyses (KMSA) were used to determine whether the prognostic factors had correlation with survival time.
Results: Only MODS showed significant predicting power for mortality (p=0.003, area under curve=0.625). Estimated median survival of all the patients calculated by KMSA was 11.0 (standard error 1.7) days, and predefined criteria of all prognostic factors showed significant differences in survival time.
Conclusion: MEDS, abbreviated MEDS, MODS, and SOFA scoring systems were useful factors for predicting
survival time of septic shock patients visiting ED.
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KEYWORD
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Septic shock, Prognosis, Survival, MEDS
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