Núñez-Armendáriz M, Castro-Serna D, Rodríguez-López L, Valdez-Payán NH, Guzmán-Sánchez I

Language: Spanish
References: 18
Page: 3-10
PDF size: 548.36 Kb.

ABSTRACT

Background: The critically ill patients are in an unstable physiological situation. There have been developed and validated various severity scoring systems, which have been useful for individuals in critical condition, including APACHEII, SAPSIII and newly validated scale in the ICU service in Spain: Sabadell scale that evaluates the mortality of these patients after their discharge from the Emergency room.
Objective: To evaluate the prognostic value of Sabadell scale in critically ill patients admitted to the Internal Medicine service from Emergency room.
Material and method: A cross-sectional study, analytical and observational study was made, in which there were two minor modifications to the scale of Sabadell: Emergency room was considered Intensive Care Unit and monitoring was performed on days 0, 4, 6, 8 and 10 based on the temporary course record, with special focus on mortality, instability and deterioration, clinical complications and length of hospitalization.
Results: We chose 74 patients older than 18 years in critical condition from the Emergency room and admitted to the Internal Medicine service. The association between a high score on the scale of Sabadell with different parameters of poor outcome was estimated using diagnostic tests for sensitivity, specificity, and prognostic estimation by odds ratios. Regarding prognostic capacity was observed that the scale of Sabadell was highly sensitive in identifying complications, even higher than APACHE II and SAPS III, but showed a high risk for complications association. Elevated score of Sabadell was associated with a risk of 1.3 to 15.4 times higher for mortality in the first 10 days. The predictive performance was comparable only to that of APACHE II.
Conclusion: Sabadell score, valued from admission to the Emergency room, is highly sensitive to identify complications early in the clinical course of critically ill patients in the Internal Medicine service, and its predictive capacity of mortality is similar to that of other standardized scales.

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