Can a score derived from the Critical Care Minimum Data Set be used as a marker of organ dysfunction? - A pilot study

被引：13

作者：

Felton T.W. ^{[1
,2
]}

Sander R. ^{[2
]}

Al-Aloul M. ^{[2
]}

Dark P. ^{[1
]}

Bentley A.M. ^{[2
]}

机构：

[1] University Department of Intensive Care Medicine, Salford Royal NHS Foundation Trust, Greater Manchester

[2] North West Lung Centre, Wythenshawe Hospital, University of South Manchester NHS Trust, Manchester

来源：

BMC Research Notes | / 2卷 / 1期

关键词：

Organ Dysfunction; Sequential Organ Failure Assessment; Sequential Organ Failure Assessment Score; Glasgow Coma Score; Altman Plot;

D O I：

10.1186/1756-0500-2-77

中图分类号：

学科分类号：

摘要：

Background. The aim of this study was to develop a simple organ score derived from the Critical Care Minimum Data Set (CCMDS) to compare with the Sequential Organ Failure Assessment (SOFA) score, a previously validated score of organ dysfunction. Findings. The CCMDS collects data regarding the support of seven organ systems. To create a CCMDS derived score each level of organ support was allocated a numerical value. SOFA scores were collected retrospectively from each patient in the study. Data was collected in 50 sequential admissions over the first 5 days of their admission. This generated a total of 147 pairs of data for comparison. Scatter plots and Spearman's rank correlation coefficient suggest a weak positive association between our CCMDS-derived score and the SOFA score. Daily Bland-Altman plots reveal minimal bias between the score but wide limits of agreement. Conclusion. Our CCMDS-derived score cannot be regarded as an indicator of severity of organ dysfunction and cannot replace SOFA scores when a daily marker of organ dysfunction is required. © 2009 Felton et al.

引用

共 7 条

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