Mortality Prediction Using the SOFA Score and APACHE II Score in Sepsis Patients Treated in ICU H. ADAM MALIK Hospital

Abstract

Introduction: Sepsis is life-threatening organ dysfunction with a high mortality rate. Scoring systems have been widely used in predicting mortality in sepsis patients, which is influenced by many factors. Aimed of this study to determine the role of the SOFA score and APACHE II score in predicting the mortality of sepsis patients in the ICU of RSUP H. Adam Malik. Methods : Diagnostic study with cross-sectional approach. Subjects of this study were sepsis patients who were treated in the ICU with consecutive sampling techniques. Scoring in predicting mortality using the SOFA score and APACHE II. Data analysis was performed univariately and bivariately using IBM SPSS version 22 for windows. The cut off value is based on the median value and the sensitivity and specificity is determined based on the formula from Table 2 x 2. Research results : Of 123 sepsis patients were analyzed in this study with a mortality rate of 57.7%. The most common source of infection that causes sepsis was pneumonia (61.8%) and the most comorbid diabetes mellitus (26%). Cut off of the study was determined using the median value where the SOFA cut off score was 10 and APACHE II was 13. The sensitivity and specificity of the SOFA score were superior in predicting mortality (Sens : 76.1%; specs 82.7%) compared to the APACHE II score (sens = 70 .4%; specs = 59.6%). Conclusion : The SOFA score has better diagnostic value and is superior in predicting mortality in sepsis patients.