지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.1
- 수록면
- 4 - 10 (7page)
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초록· 키워드
오류제보하기
Background: The prognosis of hemato-oncology (HMO) patients admitted to the intensive care unit (ICU) is poor and predicting the mortality is important for decision making at the time of ICU admission and for administering aggressive treatment. Methods: We retrospectively reviewed 309 patients who were admitted to the medical ICU (MICU) at Samsung Medical Center from July in 2005 to June in 2006. We calculated their Simplified Acute Physiology Score II (SAPS II) and the Sequential Organ Failure Assessment (SOFA) score at the time of ICU admission and we investigated the relationship between the two scoring systems and the hospital mortality. Results: Among the 309 patients, the hospital mortality was 41.2%, and the mean SAPS II/SOFA score at ICU admission was 45.4±19.5/8.1±4.6. Seventy-nine (25.6%) patients had hemato-oncological diseases. Their hospital mortality was 65.8%, and the mean SAPS II/SOFA score at the time of ICU admission was 53.9±18.6/9.7±4.4, which was higher than that of the non-HMO patients (p=0.00). The area under the receiver operating characteristic (ROC) curves for the SAPS II/SOFA score for predicting the mortality was 0.794±0.05/0.785±0.051 (p=0.00/p=0.00) for the HMO patients. There was no significant difference in discrimination ability between the two scoring systems (p>0.05). None of the HMO patients with a SAPS II/SOFA score of 70/14 or higher survived. Conclusions: Both the SAPS II and SOFA scores at the time of ICU admission were similarly effective for predicting the hospital mortality. The two scoring systems could be useful tools for decision making at the time of ICU admission and for administering aggressive treatment.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
[학술
Afessa B / 2003 / Intensive care unit support and Acute Physiology and Chronic Health Evaluation III performance in hematopoietic stem cell transplant recipients / Crit Care
Benoit DD / 2003 / Outcome and early prognostic indicators in patients with a hematologic malignancy admitted to the intensive care unit for a life-threatening complication
Blot F / 1997 / Prognostic factors for neutropenic patients in an intensive care unit: respective roles of underlying malignancies and acute organ failures / Eur J Cancer 33
Brunet F / 1990 / Is intensive care justified for patients with haematological malignancies? / Intensive Care Med 16 : 291 ~ 297
Afessa B / 2003 / Intensive care unit support and Acute Physiology and Chronic Health Evaluation III performance in hematopoietic stem cell transplant recipients / Crit Care
Benoit DD / 2003 / Outcome and early prognostic indicators in patients with a hematologic malignancy admitted to the intensive care unit for a life-threatening complication
Blot F / 1997 / Prognostic factors for neutropenic patients in an intensive care unit: respective roles of underlying malignancies and acute organ failures / Eur J Cancer 33
Brunet F / 1990 / Is intensive care justified for patients with haematological malignancies? / Intensive Care Med 16 : 291 ~ 297
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