International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 1, Issue 6 | Original Article | Open Access
Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, IndiaFulltext PDF
Background: To compare SOFA and APACHE scores in predicting early mortality in diabetic and non-diabetic patients admitted to a critical care unit.
Method: This is a time-bound retrospective observational analytical study conducted in the Department of Internal Medicine ICU, AIIMS, Rishikesh. All patients ≥18 years of age admitted to ICU from January 2021 to December 2021 were eligible for the study. APACHE II and SOFA scores were calculated and compared in diabetic and non-diabetic patients. The predictive accuracy of APACHE II and SOFA scores in predicting early mortality was measured using the Receiver operative curve.
Results: Of the 196 patients, 95 patients were Diabetic, 101 patients were non-Diabetic, and the mean APACHE II scores (23± 8 vs 20±7) were more than the mean SOFA scores (11 ±3 vs 10±3) in patients with early mortality was more than patient with more than late mortality in diabetic patients. A similar trend was seen in APACHE II (19±7 vs 16±7) and SOFA (10 ± 3 vs 8 ± 3) scores of non-diabetic patients with early and late mortality.
Conclusion: APACHE II or SOFA scores were not superior in predicting early mortality in diabetic and non-diabetic patients. However, we would like to use the SOFA score to predict the outcome of a patient admitted to a critical care unit, as it is easier than the APACHE II score.
APACHE II; SOFA; Diabetes
Prabin Kharibam, Mukesh Bairwa, Santosh S C, Himanshu Dadeya, Ravi Kant, Ananya Das.SOFA and APACHE 2 in Determining Early Mortality in Diabetes and Non-Diabetes: Retrospective Observational Analytical Study.Int Clinc Med Case Rep Jour. 2022;1(6):1-8.