2013
DOI: 10.6061/clinics/2013(02)oa06
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Is SAPS 3 better than APACHE II at predicting mortality in critically ill transplant patients?

Abstract: OBJECTIVES:This study compared the accuracy of the Simplified Acute Physiology Score 3 with that of Acute Physiology and Chronic Health Evaluation II at predicting hospital mortality in patients from a transplant intensive care unit.METHOD:A total of 501 patients were enrolled in the study (152 liver transplants, 271 kidney transplants, 54 lung transplants, 24 kidney-pancreas transplants) between May 2006 and January 2007. The Simplified Acute Physiology Score 3 was calculated using the global equation (custom… Show more

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Cited by 24 publications
(34 citation statements)
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“…However, validation studies of SAPS 3 were performed in specific subgroup of patients or in single-center studies involving a general ICU population [716]. In general, both the SAPS 3-SE and SAPS 3-CSA equations were evaluated in the studies.…”
Section: Discussionmentioning
confidence: 99%
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“…However, validation studies of SAPS 3 were performed in specific subgroup of patients or in single-center studies involving a general ICU population [716]. In general, both the SAPS 3-SE and SAPS 3-CSA equations were evaluated in the studies.…”
Section: Discussionmentioning
confidence: 99%
“…In these previous studies, the SAPS 3-SE had a poor calibration and tended usually to underestimate mortality [710, 12]. The SAPS 3-SE tended to overestimate mortality in only two studies (one of them comprising patients with acute coronary syndromes), both with a relatively low mortality rate [11, 16].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…En Brasil en al año 2009 se realizó un estudio de validación de la escala SAPS 3, los pacientes de estudio fueron ingresados en unidades de cuidados intensivos durante el periodo del 1 de marzo de 2008 al 1 de marzo 2009 y obteniendo los siguientes resultados: mortalidad real 10.8% y mortalidad prevista de 10.3%; la escala SAPS 3 mostró mejor sensibilidad (75%) y especificidad (86%) para la mortalidad hospitalaria que APACHE II, además al aplicar otro tipo de puntuación (APACHE II: Acute Physiology and Chronic Health Evaluation II) se mostraron resultados insuficientes para la predicción, baja discriminación y el inconveniente de no ser aplicable para todas las poblaciones, por lo cual actualmente es considerada obsoleta [7][8][9][10].…”
Section: Discussionunclassified
“…APACHE II, SAPS II) remain 'gold standards' in prognostication among severely ill patients in individual ICUs worldwide. Both APACHE and SAPS performance in predicting in-hospital mortality has already been veri ed in patients with various diagnoses (8)(9)(10)(11)(12)(13)(14)(15)(16). However, their use in assessing post-discharge mortality in ICU survivors has not been studied (17)(18)(19)(20)(21).…”
Section: Introductionmentioning
confidence: 99%