Perbandingan Penggunaan APACHE IV, SAPS 3 dan SOFA untuk Memprediksi Mortalitas pada Pasien Kritis

Hesti Prawita W, Suharyo Hadisaputro, Supriyadi Supriyadi

Abstract


The objective of this study is to compare the validation scoring system of APACHE IV, SAPS 3 and SOFA to predict mortality in critically ill patients. The type and design of the study is an observational analytic with cross-sectional design with retrospective sampling conducted using the secondary data. The otal sample is 106 respondents who were treated in the ICU of A. Wahab Sjahranie Hospital Samarinda between January - October 2013. The results of bivariant analysis showed that there was a statistically significant relationship between the three scoring systems (APACHE IV, SAPS 3 and SOFA) with the outcomes of respondents with a value of p less than 0.05 (p = 0.004 APACHE IV; SAPS 3 p = 0.004 and SOFA p = 0.022). APACHE IV AUROC = 0.757; AUROC SAPS 3 = 0.717; AUROC SOFA = 0.69. Calibration of APACHE IV with a value of p = 0.20; SAPS 3 p = 0.086 and p = 0.60 SOFA.Conclusion: APACHE IV has better discrimination and calibration compared with the SAPS 3 and SOFA. Suggestion: APACHE IV should be using to predict mortality in critically ill patients.

Keywords


APACHE IV ; SAPS 3 ; SOFA

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DOI: https://doi.org/10.31983/jrk.v4i1.348

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