Relationship between Sequential Organ Failure Assessment (SOFA) and intra-abdominal pressure in intensive care unit

Abstract

BackgroundPatients in the intensive care unit are at risk of developing intra-abdominal hypertension and abdominal compartment syndrome.AimTo describe the relation between Sequential Organ Failure Assessment (SOFA) vs. intra-abdominal pressure and the relation between SOFA and risk factors for intra-abdominal hypertension.MethodIn accordance with the recommendations of the World Society of the Abdominal Compartment Syndrome, the present study measured the intra-abdominal pressure of patients 24 h and 48 h after admission to the unit and calculated the SOFA after 24 h and 48 h. Data was collected over two-month period.ResultsNo correlation was found between SOFA and intra-abdominal pressure. Seventy percent of the patients were men and the mean age was 44 years, 10% had been referred from general surgery (with a mean intra-abdominal pressure of 11) and 65% from neurosurgery (with a mean intra-abdominal of 6.7). Only three (7.5%) presented with intra-abdominal hypertension. The highest SOFA was 15 and the most frequent kind of organ failure was neurological, with a frequency of 77%. There was a strong correlation between the SOFA after 24 h and 48 h and peak respiratory pressure (ρ=0.43/p=0.01; ρ=0.39/p=0.02).ConclusionNo correlation was found between SOFA and intra-abdominal pressure in the patients covered by the present study. However, it is possible in patients undergoing abdominal surgery or those with abdominal sepsis. Não houve correlação entre o SOFA e a pressão intra-abdominal nos pacientes aqui estudados; contudo, sinalizou ser possível em pacientes com operação abdominal ou naqueles com sepse abdominal.

Comparison of pressure‑regulated volume control ventilation and pressure control ventilation in patients with abdominal compartment syndrome

“…Apart from ABG, significant improvements were also observed in respiratory mechanics and hemodynamics. However, the SOFA score was not improved in the present study, due to two possible reasons: First, the present study only assessed the respiratory and cardiovascular systems, whereas the SOFA score encompasses a total of six systems (25,26), and furthermore, an observation time of 6 h may not have been sufficient to improve the SOFA score. Therefore, a follow-up experiment with longer post-ventilation time is required.…”

Associação entre dor, analgossedação e mortalidade de pacientes em unidade terapia intensiva

“…O aumento das doenças crônicas e o progressivo avanço tecnológico em saúde, tem proporcionado uma transição demográfica com consequente envelhecimento da população mundial, assim como maiores internações de idosos em UTI. (16). Os pacientes do gênero masculino e idade acima de 60 anos foi prevalente neste estudo, corroborando com pesquisa recente (11).…”

“…A perspectiva em estratificar os pacientes que terão maior chance de sobrevivência em relação aos que apresentarão maior mortalidade é indispensável no estabelecimento de estratégias avançadas ou até, sempre à luz da observação clínica (16). Os ajustes entre as taxas de mortalidade baseados na predição de escores prognósticos, são atualmente utilizados para comparação da qualidade do cuidado oferecido em UTI auxiliando na identificação de deficiências do serviço e identificando áreas de suscetíveis melhorias.…”

Associação entre os escores da escala Sequential Organ Failure Assessment e a mortalidade de pacientes sob ventilação mecânica internados em uma Unidade de Terapia Intensiva

“…[ANVISA], 2010). As infecções são um quadro frequente nos pacientes internados nas UTI, muitas vezes evoluindo para uma situação de acometimento dos órgãos (sepse), acarretando em alto índice de mortalidade (Junior & da Silva, 2014;de Freitas et al, 2014).…”