Can a score derived from the Critical Care Minimum Data Set be used as a marker of organ dysfunction? – a pilot study
<p>Abstract</p> <p>Background</p> <p>The aim of this study was to develop a simple organ score derived from the Critical Care Minimum Data Set (CCMDS) to compare with the Sequential Organ Failure Assessment (SOFA) score, a previously validated score of organ dysfunction...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
BMC
2009-05-01
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Series: | BMC Research Notes |
Online Access: | http://www.biomedcentral.com/1756-0500/2/77 |
Summary: | <p>Abstract</p> <p>Background</p> <p>The aim of this study was to develop a simple organ score derived from the Critical Care Minimum Data Set (CCMDS) to compare with the Sequential Organ Failure Assessment (SOFA) score, a previously validated score of organ dysfunction.</p> <p>Findings</p> <p>The CCMDS collects data regarding the support of seven organ systems. To create a CCMDS derived score each level of organ support was allocated a numerical value. SOFA scores were collected retrospectively from each patient in the study. Data was collected in 50 sequential admissions over the first 5 days of their admission. This generated a total of 147 pairs of data for comparison.</p> <p>Scatter plots and Spearman's rank correlation coefficient suggest a weak positive association between our CCMDS-derived score and the SOFA score. Daily Bland-Altman plots reveal minimal bias between the score but wide limits of agreement.</p> <p>Conclusion</p> <p>Our CCMDS-derived score cannot be regarded as an indicator of severity of organ dysfunction and cannot replace SOFA scores when a daily marker of organ dysfunction is required.</p> |
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ISSN: | 1756-0500 |