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...

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Bibliographic Details
Main Authors: Al-Aloul Mo, Sander Rebecca, Felton Tim W, Dark Paul, Bentley Andrew M
Format: Article
Language:English
Published: BMC 2009-05-01
Series:BMC Research Notes
Online Access:http://www.biomedcentral.com/1756-0500/2/77
Description
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>
ISSN:1756-0500