The Relationship Between SOFA, qSOFA, SIRS Criteria Scoring Systems and 1-Year Mortality in Patients Followed Up in Level 3 Intensive Care Unit after Orthopedic Surgery

Abstract

Predictive scoring systems are designed to predict patients' discharge status, patient mortality, Intensive Care Unit(ICU) mortality and length of hospital stay. These scoring systems, which are aimed to standardize and form a common language in terms of evaluating patient general health situation, are used in the evaluation of patients in many ICU. In this study, we aimed to evaluate the ability of the scoring systems that can be used to predict the mortality of the patients who will be followed up in the ICU after orthopedic surgery and predict the mortality that occurs in the first year outside the hospital. We established our hypothesis that there will be no difference between the predictive power of predictive scoring systems, which can be used as a marker of mortality, since relatively short-term hospitalizations occur in the ICU after orthopedic surgery. Material and Method: Our study was designed as a single center retrospective. Between January 2017 and August 2018, all patients undergoing level 3 intensive care follow-up were identified in the automation system. After the evaluation of 146 patients' files and automation system data, patients who were in compliance with the inclusion and exclusion criteria were identified. Result: A total of 40 patients were included in the study. The mean age was 75.69 (SD = 8.66 years), 50% male and 50% female. Fifteen patients (37.5%) died during their first year follow-up. When the patients were evaluated as survivors and non-survivors in the first year, it was observed that there was a significant difference between the groups in terms of quantitative variables in terms of early postoperative GCS and in terms of early postoperative oxygen saturation. There was no significant difference between the two groups in terms of qualitative variables (p>0.005). Conclusion:An appropriate mortality predictor score should be selected to standardize follow-up in intensive care unit.As a result of our study, there was no significant relationship between groups SOFA, qSOFA scores and SIRS criteria met suggested that these scoring systems were not suitable for predicting 1-year mortality in our patient group. We believe that specific criteria should be established with studies with larger series and more criteria.