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2021, Number 2

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Correo Científico Médico 2021; 25 (2)

Application of SOFA score to patients with sepsis in a Pediatric Intensive Care Unit

Torres MA, Fuentes LJE, Rodríguez GY, Navarro CY, Calzadilla CCC

Language: Spanish
References: 18
Page:
PDF size: 270.91 Kb.


ABSTRACT

Introduction: Sepsis is considered one of the main causes of admission and death in the pediatric intensive care units. At the last consensus meeting on sepsis, new concepts were established where organic dysfunction, measured through SOFA score, has a leading role in diagnosis.
Objective: To describe the clinical evolution and outcome of patients admitted for sepsis in the Pediatric Intensive Care Unit from ¨Guillermo Luis Fernández Baquero¨ General Intermunicipal Hospital in Moa, Holguín, Cuba, taking into account the SOFA score.
Method: A prospective cross-sectional study was carried outfrom January 2018 to December 2019. A non-probabilistic sample was composed by 93 patients with sepsis. Absolute frequency (AF), percentage (%) and arithmetic mean were used as statistics.
Results: The mean age was 4.21 years; 54.84% belonged to the male sex and 60.21% were white. In 62.36%, the causal focus was located in the respiratory system; 65.59% of the cases were admitted in Sepsis Ward and 31.18% in Severe Sepsis Ward; 21.50% of the infants received a score below 2 according to SOFA score on admission and only 10.75% maintained a score below 2 during evolution.
Conclusions: Most of the patients with less than two points on admission, exceeded that limit during evolution. Severe sepsis and septic shock, had higher scores according to SOFA. Patients with severe sepsis and septic shock, as well as those who died, showed a higher score according to SOFA score.


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