論文

査読有り 国際誌
2019年6月

Modification of sequential organ failure assessment score using acute kidney injury classification.

Journal of critical care
  • Yuki Kotani
  • ,
  • Tomoko Fujii
  • ,
  • Shigehiko Uchino
  • ,
  • Kent Doi

51
開始ページ
198
終了ページ
203
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jcrc.2019.02.026

PURPOSE: To assess the predictive validity of a modified Sequential Organ Failure Assessment (SOFA) score, of which the renal component was replaced with Kidney Disease Improving Global Outcomes (KDIGO) classification of Acute Kidney Injury (AKI). MATERIALS AND METHODS: Using a prospective cohort study on AKI in Japan, we replaced the renal component of SOFA score with AKI stages according to the KDIGO criteria except that initiation of renal replacement therapy was assigned four points. We assessed the predictive validity of KDIGO-based SOFA score for hospital and ICU mortality by comparing the areas under the receiver operating characteristic curve (AUC) derived from logistic regression models with that of the original SOFA score. RESULTS: 2292 patients were registered. Overall hospital mortality was 11.6%, and ICU mortality was 5.1%. KDIGO-based SOFA score was moderately correlated with APACHE II score (rho = 0.476). The AUC for hospital and ICU mortality of KDIGO-based and the original SOFA score were 0.749 vs 0.745 (p = .393) and 0.790 vs 0.791 (p = .900). CONCLUSIONS: The prognostic performance of KDIGO-based SOFA score was not superior but comparable to that of the original SOFA score.

リンク情報
DOI
https://doi.org/10.1016/j.jcrc.2019.02.026
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30878015
Scopus Url
http://www.scopus.com/inward/record.url?eid=2-s2.0-85062802756&partnerID=MN8TOARS
ID情報
  • DOI : 10.1016/j.jcrc.2019.02.026
  • ORCIDのPut Code : 61182834
  • PubMed ID : 30878015
  • SCOPUS ID : 85062802756

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