Use of the Simplified Acute Physiology Score (SAPS II) for assessment of disease severity in surgical intensive care patients

Agha, Ayman and Bein, T. and Froehlich, D. and Hoefler, S. and Krenz, D. and Jauch, K. W. (2002) Use of the Simplified Acute Physiology Score (SAPS II) for assessment of disease severity in surgical intensive care patients. CHIRURG, 73 (5). pp. 439-442. ISSN 0009-4722

Full text not available from this repository. (Request a copy)

Abstract

Introduction. In 1993, Le Gall proposed a new Simplified Acute Physiology Score (SAPS II) to assess the severity of illness in intensive care patients and to predict the risk of hospital mortality using a large data base of more than 13,000 patients of different intensive care units. Up to the present time, no satisfactory form of validation for surgical intensive care patients has been available. We investigated the prognostic quality of this score system for the assessment of the severity of the illness in surgical intensive care patients. Methods. Between October 1997 and December 1998,310 consecutive patients were included in our study. We calculated the SAPS II score according to the published guidelines. Additionally, we calculated the risk of mortality by referring to the score. We used a receiver operating characteristics (ROC) analysis for statistical evaluation. Results. The median duration of stay on our intensive care unit was 8.4 days. In all patients, the mean SAPS II was 29.9 +/- 12.7. In the survivors, calculation of mean SAPS II was 27.7 +/- 11.4. In the non-survivors, mean SAPS II was 45.7 +/- 11.2. The predicted risk of mortality was 15.7%,the actual risk of mortality was 15.8%. Conclusion. The SAPS II score has proved to be a good prognostic instrument in surgical intensive care patients. SAPS II is particularly effective in providing an exact estimation of the risk of death, classifying patient groups in clinical studies, epidemiological investigations, and quality assessment.

Item Type: Article
Uncontrolled Keywords: OUTCOME PREDICTION; SAPS II score; surgical intensive care medicine; risk of mortality
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Medicine > Lehrstuhl für Chirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 27 Oct 2021 04:28
Last Modified: 27 Oct 2021 04:28
URI: https://pred.uni-regensburg.de/id/eprint/40294

Actions (login required)

View Item View Item