Prediction of an unfavorable outcome of a critical condition with the combined use of the APACHE - II, SOFA,NRS- 2002 scales
https://doi.org/10.25789/YMJ.2021.75.14
Abstract
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.
About the Authors
O. G. SivkovRussian Federation
Sivkov Oleg G. - PhD, Head of the Anesthesiology and Resuscitation Service
Tyumen
A. O. Sivkov
Russian Federation
Sivkov Alexey O. - doctor of the Department of Anesthesiology and Resuscitation
Tyumen
I. N. Leiderman
Russian Federation
Leiderman Ilya N. - MD, Professor of the Department of Anesthesiology and Resuscitation
References
1. Hiura G, Lebwohl B, Seres DS. Malnutrition Diagnosis in Critically Ill Patients Using 2012 Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Standardized Diagnostic Characteristics Is Associated With Longer Hospital and Intensive Care Unit Length of Stay and Increased In-Hospital Mortality //JPEN J Parenter Enteral Nutr. 2020. Vol 44. № 2. Р 256-264. doi: 10.1002/jpen.1599.
2. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system //Crit Care Med. 1985 Oct;13(10):818-29. PMID: 3928249.
3. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutri tional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials //ClinNutr. 2003. Vol 22 № 3. Р 321-357. doi: 10.1016/s0261-5614(02)00214-5.
4. Marchetti J, Reis AMD, Santos AFD, Franzosi OS, Luft VC, Steemburgo T. High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit //Rev Bras Ter Intensiva. 2019. Vol 31. № 3. P 326-332. doi: 10.5935/0103-507X.20190041.
5. Ratnayake CB, Loveday BP, Shrikhande SV, Windsor JA, Pandanaboyana S.Impact of preoperative sarcopenia on postoperative outcomes following pancreatic resection: a systematic review and meta-analysis //Pancreatology 2018;18:996e1004.
6. Vincent J.L., Moreno R., Takala J., Willatts S. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/ failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine //Intensive Care Med. 1996. Vol 22. P 707–710. doi: 10.1007/BF01709751.
Review
For citations:
Sivkov O.G., Sivkov A.O., Leiderman I.N. Prediction of an unfavorable outcome of a critical condition with the combined use of the APACHE - II, SOFA,NRS- 2002 scales. Yakut Medical Journal. 2021;(3):54-57. https://doi.org/10.25789/YMJ.2021.75.14