Organ failure of patients using ventilator based on the sequence organ failure assessment score (SOFA) admitted in Intensive Care Unit

Abstract

This study aimed to describe the relationship between the score of sequence organ failure assessment (SOFA) and the length of time of vventilatoruse by patients hospitalized in Intensive Care Unit. This research is analytic observational with a cross-sectional design. Data collected include age, sex, diagnosis medic, length of stay in ICU, length of ventilator use and SOFA score. The SOFA components include respiratory, platelet, liver, neurology, cardiovascular, renal and urine output in 24h. The data platelet and liver were collected based on the new data. The respiratory data used FiO2/SaO2; Neurological data used Glow Coma Scale value; and cardiovascular data used mean atrial pressure value (MAP). Each organ system is assigned a point from 0 to 4. The SOFA scores range from 0 to 24. The highest score is defined as the worst condition. This instrument was created by the European Society of Intensive Care Medicine. The number of samples was 40 patients who admitted in ICU for two days minimum. The data were collected in two months by a team. Data collected were analyzed by percentage, mean, and fisher exact to see the relationship of SOFA score and duration to use the ventilator. The data were analyzed by Fisher exact statistic because there are three cells have expected account less than 5. Majority of the respondents admitted in the ICU caused of neurological function with mean of SOFA score of 7.78 (score minimum is 4 and score maximum 12). The duration used ventilator majority less than 3 days (55%). The result shows that there was the relationship between the score of SOFA with duration to use ventilator (p value <0.01). The highest score of SOFA is indicating more severity of the function of organ respiratory. SOFA score is one instrument for evaluating the severity and prognosis of the patients.