ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2021.75.14ymj-541Research ArticleЗДОРОВЫЙ ОБРАЗ ЖИЗНИ. ПРОФИЛАКТИКАHEALTHY LIFESTYLE. PROPHYLAXISПрогнозирование неблагоприятного исхода критического состояния при совместном использовании шкал APACHE-II, SOFA, NRS-2002Prediction of an unfavorable outcome of a critical condition with the combined use of the APACHE - II, SOFA,NRS- 2002 scaleshttps://orcid.org/0000-0003-3682-2789СивковА. О.SivkovO. G.

Сивков Алексей Олегович – врач

г. Тюмень

Sivkov Oleg G. - PhD, Head of the Anesthesiology and Resuscitation Service

Tyumen

https://orcid.org/0000-0002-7694-9293СивковО. Г.SivkovA. O.

Сивков Олег Геннадьевич – к.м.н, руковод. анестезиолого-реанимацион. Службы

Sivkov Alexey O. - doctor of the Department of Anesthesiology and Resuscitation

Tyumen

sivkovog@mail.ruhttps://orcid.org/0000-0001-8519-7145ЛейдерманИ. Н.LeidermanI. N.

Лейдерман Илья Наумович – д.м.н., проф.

г. Санкт-Петербург

Leiderman Ilya N. - MD, Professor of the Department of Anesthesiology and Resuscitation

АО МСЧ «Нефтяник»РоссияTyumen Cardiology Research CenterRussian FederationТюменский кардиологич. научн. центр - филиал Томского НИМЦРоссияJSC MSCH "Neftyanik"Russian FederationФГБУ НМИЦ им В.А. Алмазова Минздрава РоссииРоссияAlmazov Federal State Medical Research Center of the Ministry of Health of the Russian FederationRussian Federation202127042025035457Copyright © Сивков А.О., Сивков О.Г., Лейдерман И.Н., 20252025Сивков А.О., Сивков О.Г., Лейдерман И.Н.Sivkov O.G., Sivkov A.O., Leiderman I.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/541

Рассматривается вопрос крайней важности проведения скрининга неблагоприятного исхода в первые сутки поступления пациента в отделение реанимации и интенсивной терапии. Известно, что в интегральные шкалы оценки тяжести состояния пациентов APACHEII и SOFA не входит оценка нутритивной недостаточности, которая сама по себе влияет на выживаемость пациентов в критическом состоянии. Модель, в которой используются три шкалы: оценка патофизиологических сдвигов - APACHE-II, выраженность полиорганной недостаточности - SOFA и оценка риска нутритивной недостаточности - NRS-2002, достоверно повышает точность прогноза неблагоприятного исхода у пациента отделения реанимации и интенсивной терапии в сравнении с их раздельным использованием.

During the first 24 hrs of patient’s admission to ICU, it is essential to perform a negative outcome screening, which can be done using acute physiology severity scales - APACHE-II and SOFA. It is known that these scales do not include nutritional insufficiency assessment, which itself affects survivability of critically ill patients. The model that uses three scales: assessment of pathophysiological changes - APACHE-II, intensity of multiple organ failure – SOFA, and assessment of nutritional insufficiency risk - NRS-2002, reliably improves the accuracy of the negative outcome prognosis in an ICU patient compared to their individual application.

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The authors declare that there are no conflicts of interest present.