open access

Vol 46, No 3 (2014 Jul-Aug)
Original and clinical articles
Submitted: 2014-07-29
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The effectiveness of the APACHE II, SAPS II and SOFA prognostic scoring systems in patients with haematological malignancies in the intensive care unit

Wioletta Sawicka, Radosław Owczuk, Magdalena Anna Wujtewicz, Maria Wujtewicz
DOI: 10.5603/AIT.2014.0030
·
Anaesthesiol Intensive Ther 2014;46(3):166-170.

open access

Vol 46, No 3 (2014 Jul-Aug)
Original and clinical articles
Submitted: 2014-07-29

Abstract

BACKGROUND: Cancer-related mortality remains the second most common cause of death in Poland. In many cases, the occurrence of treatment-related complications requires admission to the intensive care unit (ICU). The aim of this study was to assess the clinical application of the APACHE II, SAPS II and SOFA scales to evaluate the risk of death in patients with haematological malignancies treated in the ICU.

METHODS: This study’s analysis included 99 patients, who were each assigned to one of the following two groups: surviving patients who were discharged from the ICU (n = 24); and patients who died in the ICU (n = 75). Analysis was performed using demographic, clinical and laboratory data obtained during the patient’s admission to the ICU and also during the first 24 hours of intensive therapy. Patient assessment was performed using the APACHE II, SAPS II and SOFA scoring systems as well as other clinical variables.

RESULTS: Univariate logistic regression identified the following risk factors of death in patients with haematological malignancies: systolic (P = 0.006), diastolic (P = 0.01) and mean arterial pressure values (P = 0.009); occurrence of acute kidney injury; neutrophil (P = 0.009) and platelet count in the peripheral blood (P = 0.001); and the SAPS II (P = 0.00005), SOFA (P = 0.00009) and APACHE II (P = 0.0007) scores. SAPS II score was the only independent risk factor of patient death in multivariate analysis (P = 0.0004; unitary OR 1.052 [95% CI: 1.022–1.082]).

CONCLUSION: Of all the applied patient assessment scales, only the SAPS II score was found to be useful in subjects with haematological malignancies hospitalised in the ICU.

Abstract

BACKGROUND: Cancer-related mortality remains the second most common cause of death in Poland. In many cases, the occurrence of treatment-related complications requires admission to the intensive care unit (ICU). The aim of this study was to assess the clinical application of the APACHE II, SAPS II and SOFA scales to evaluate the risk of death in patients with haematological malignancies treated in the ICU.

METHODS: This study’s analysis included 99 patients, who were each assigned to one of the following two groups: surviving patients who were discharged from the ICU (n = 24); and patients who died in the ICU (n = 75). Analysis was performed using demographic, clinical and laboratory data obtained during the patient’s admission to the ICU and also during the first 24 hours of intensive therapy. Patient assessment was performed using the APACHE II, SAPS II and SOFA scoring systems as well as other clinical variables.

RESULTS: Univariate logistic regression identified the following risk factors of death in patients with haematological malignancies: systolic (P = 0.006), diastolic (P = 0.01) and mean arterial pressure values (P = 0.009); occurrence of acute kidney injury; neutrophil (P = 0.009) and platelet count in the peripheral blood (P = 0.001); and the SAPS II (P = 0.00005), SOFA (P = 0.00009) and APACHE II (P = 0.0007) scores. SAPS II score was the only independent risk factor of patient death in multivariate analysis (P = 0.0004; unitary OR 1.052 [95% CI: 1.022–1.082]).

CONCLUSION: Of all the applied patient assessment scales, only the SAPS II score was found to be useful in subjects with haematological malignancies hospitalised in the ICU.

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Keywords

intensive care, mortality; intensive care, prognosis; haematological malignancies; lymphatic neoplasms

About this article
Title

The effectiveness of the APACHE II, SAPS II and SOFA prognostic scoring systems in patients with haematological malignancies in the intensive care unit

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 46, No 3 (2014 Jul-Aug)

Pages

166-170

DOI

10.5603/AIT.2014.0030

Bibliographic record

Anaesthesiol Intensive Ther 2014;46(3):166-170.

Keywords

intensive care
mortality
intensive care
prognosis
haematological malignancies
lymphatic neoplasms

Authors

Wioletta Sawicka
Radosław Owczuk
Magdalena Anna Wujtewicz
Maria Wujtewicz

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