tailieunhanh - Báo cáo khoa học: "Assessment of six mortality prediction models in patients admitted with severe sepsis and septic shock to the intensive care unit: a prospective cohort study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Assessment of six mortality prediction models in patients admitted with severe sepsis and septic shock to the intensive care unit: a prospective cohort study. | Critical Care October 2003 Vol 7 No 5 Arabi et al. Research Open Access Assessment of six mortality prediction models in patients admitted with severe sepsis and septic shock to the intensive care unit a prospective cohort study Yaseen Arabi1 Nehad Al Shirawi1 Ziad Memish2 Srinivas Venkatesh1 and Abdullah Al-Shimemeri1 1 Department of Intensive Care King Fahad National Guard Hospital Riyadh Saudi Arabia 2Department of Infection Prevention and Control King Fahad National Guard Hospital Riyadh Saudi Arabia Correspondence Yaseen Arabi yaseenarabi@. Received 25 June 2003 Revisions requested 14 July 2003 Revisions received 15 July 2003 Accepted 6 August 2003 Published 28 August 2003 Critical Care 2003 7 R116-R122 DOI cc2373 This article is online at http content 7 5 R116 2003 Arabi et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X . This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Introduction We conducted the present study to assess the validity of mortality prediction systems in patients admitted to the intensive care unit ICU with severe sepsis and septic shock. We included Acute Physiology and Health Evaluation APACHE II Simplified Acute Physiology Score SAPS II Mortality Probability Model MPM II0 and MPM II24 in our evaluation. In addition SAPS II and MPM II24 were customized for septic patients in a previous study and the customized versions were included in this evaluation. Materials and method This cohort prospective observational study was conducted in a tertiary care medical surgical ICU. Consecutive patients meeting the diagnostic criteria for severe sepsis and septic shock during the first 24 hours of ICU admission between March 1999 and August 2001 were included. The data necessary for mortality prediction were collected prospectively as part of