Comparative study to evaluate use of apache ii and sofa score in sepsis patients in intensive care unit of a tertiary level hospital in western Maharashtra

Abstract

Background: Intensive care units (ICU) in most settings consume very high cost and sophisticated devices but mortality rates are still very high. There is no specific literature comparing APACHE II score and SOFA score in sepsis patient and this research topic will help to identify the score more appropriate to predict the seriousness, outcome and mortality of patients suffering from sepsis, which has been evaluated in our study. Methodology: This was a single centre hospital based cross sectional, observational, descriptive study conducted in patients in ICUs of our institute. 100 patients over age 16 years old admitted in intensive care unit who have fulfilled the criteria for sepsis were included in our study. Their clinical profile, APACHE II and SOFA scores were evaluated and compared with respect to patients’ outcome in the form of survival. Results: The mean age was 56.71 ± 16.77 years. Majority of patients were males (69%). 52 of patients were survivors (52%) and non-survivor were 48%. The mean SOFA score of survived patients was 3.54 ± 2.57 lower than non-survivor patients of 6.02 ± 3.17.