Investigating SOFA, delta-SOFA and MPM-III for mortality prediction among critically ill patients at a private tertiary hospital ICU in Kenya: A retrospective cohort study.
Lillian N LukokoPeter S KussinRodney D AdamJames OrwaWangari Waweru-SiikaPublished in: PloS one (2020)
Mortality among the critically ill was higher than expected in this well-resourced ICU. 48-hour SOFA performed better than admission SOFA, MPM-III and delta-SOFA in our cohort. While a large proportion of patients did not meet admission criteria but were boarded in the ICU, critically ill patients stepped-up from the step-down unit were unlikely to survive. Patients admitted following a cardiac arrest, and those with advanced disease such as leukemia, stage-4 HIV and metastatic cancer, had particularly poor outcomes. Policies for fair allocation of beds, protocol-driven admission criteria and appropriate case selection could contribute to lowering the risk of mortality among the critically ill to a level on par with HICs.
Keyphrases
- intensive care unit
- cardiac arrest
- cardiovascular events
- emergency department
- mechanical ventilation
- risk factors
- end stage renal disease
- squamous cell carcinoma
- ejection fraction
- newly diagnosed
- public health
- randomized controlled trial
- prognostic factors
- hepatitis c virus
- papillary thyroid
- human immunodeficiency virus
- hiv infected
- acute myeloid leukemia
- study protocol
- hiv positive
- type diabetes
- cardiovascular disease
- coronary artery disease
- patient reported outcomes
- hiv aids
- weight loss
- patient reported
- childhood cancer