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2013, Number 2

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Rev Cub Med Int Emerg 2013; 12 (2)

Application SAPS 3 prediction model in patients with acute heart failure (AHF)

Fernández GE, Pico PJL, Mezquia PN, Vázquez CCM, Olmo MJ

Language: Spanish
References: 16
Page:
PDF size: 175.61 Kb.


ABSTRACT

Introduction: Severity scores are important tools in the intensive care units. Marker systems to gauge the severity of the condition in the critically ill patient were created as a mechanism to systematically assess the quality and effectiveness of care in ICUs and provide an objective estimate of hospital mortality.
Objectives: To determine the behavior and predictability of the SAPS 3 model prediction of mortality in AHF patients treated in our unit.
Methods: A prospective observational study was performed in a cohort of patients diagnosed with AHF admitted consecutively to the intermediate care unit of medicine in the Clinical and Chirurgical Docent Hospital: Dr. Miguel Enriquez, during the second half of 2009 and 2010 years. We collected the information needed to apply SAPS 3 admission prognostic patient and kept the follow-up until discharge from the unit.
Results: Patients deceased showed higher mean prognostic values scale than the patients who survived at discharge (55.7674 vs. 52.3889) with significant differences, the assessment based on the was lower than the number of deaths observed in each strata and in general (44.3 vs. 24.9) with a ratio Observed Death/Death at Discharge (OD/DD) of 1.77.
Conclusions: We consider that the model is probably not applicable in our unit without a previous readjustment of settings because it does not adequately predict the probability of death in the acute heart failure patients.


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