DOI: https://doi.org/10.14710/jai.v13i2.33984

Analisis Sistem Skoring APACHE II dan SOFA Terhadap Outcome di Intensive Care Unit RSUD Dr. Soetomo Surabaya

1Fakultas Kedokteran, Universitas Airlangga, Surabaya, Indonesia

2Departemen Anestesiologi dan Reanimasi, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr. Soetomo, Surabaya, Indonesia

3Departemen Ilmu Kesehatan Masyarakat-Kedokteran Pencegahan, Fakultas Kedokteran, Universitas Airlangga, Surabaya, Indonesia

4 Departemen Anestesiologi dan Reanimasi, Fakultas Kedokteran, Universitas Airlangga/ RSUD Dr. Soetomo, Surabaya, Indonesia

View all affiliations
Received: 6 Nov 2020; Published: 1 Jul 2021.

Citation Format:
Abstract

Latar belakang: Intensive care unit (ICU) adalah suatu ruangan dari rumah sakit yang khusus untuk merawat pasien yang menderita penyakit, cedera, atau komplikasi yang mengancam jiwa. Pasien yang sedang dilakukan perawatan di ICU dapat diperkirakan prognosisnya menggunakan sistem skoring.

Tujuan: Untuk mengetahui hubungan antara sistem skoring acute physiological chronic health evaluation (APACHE II), sequential organ failure assessment (SOFA) hari pertama, SOFA hari ketiga, SOFA hari kelima dengan outcome pasien di ICU RSUD Dr. Soetomo Surabaya.

Metode: Prospektif studi analitik observasional. Pengumpulan data dari rekam medis ICU RSUD Dr. Soetomo Surabaya. Subjek penelitiannya adalah pasien berumur ≥17 tahun yang dirawat di ICU minimal lima hari untuk kemudian dibandingkan sistem skoring APACHE II, SOFA hari pertama, SOFA hari ketiga dan SOFA hari kelima terhadap outcome pasien. Sampel penelitian bulan September 2019 hingga Januari 2020 sebanyak 110 pasien, namun yang masuk kriteria inklusi hanya 30 pasien. Data dianalisis menggunakan software SPSS 16 menggunakan uji spearman dan scatter plot.

Hasil: Dari 30 pasien ICU, 56.7% berjenis kelamin laki-laki dan 43.3% berjenis kelamin perempuan, kelompok umur terbanyak 46-65 tahun (50%), indeks massa tubuh (IMT) tertinggi pada kategori IMT Normal (60%), diagnosis terbanyak adalah Sepsis sebanyak 14 pasien. (46.7%), pasien tanpa komorbiditas lebih dominan 15 pasien (50%), kondisi akhir pasien lebih banyak pada pasien yang hidup 18 pasien (60%). Hasil uji Spearman dan scatter plot menunjukkan adanya hubungan antara SOFA hari kelima dengan outcome ICU (p <0.05).

Kesimpulan: Sistem penilaian SOFA hari kelima dapat memprediksi outcome ICU. Sedangkan APACHE II dan SOFA pada hari pertama dan ketiga tidak dapat memprediksi outcome ICU.

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Ethical Clearance
Subject
Type Research Instrument
  Download (1MB)    Indexing metadata
 Research Instrument
Copyright Transfer Agreement
Subject
Type Research Instrument
  Download (1MB)    Indexing metadata
Keywords: APACHE II; ICU; outcome; prognosis; SOFA

Article Metrics:

Article Info
Section: Original Articles
Language : ID
Recent articles
Hubungan Penanda Infeksi, Penanda Oksigenasi, dan Faktor Risiko Lainnya terhadap Mortalitas Pasien COVID-19 dengan Pneumonia Saat Admisi di Unit Perawatan Intensif RSUP Dr. Wahidin Sudirohusodo The Effectiveness of Intraoperative Ketamine and Fentanyl as Preemptive Analgesia Assessed with qNOX Score Diameter dan Indeks Inferior Vena Cava (IVC) Berkorelasi dengan Central Venous Pressure (CVP) pada Pasien Kritis yang Menggunakan Ventilasi Mekanik di Intensive Care Unit (ICU) Komplikasi Multi Organ pada Pasien yang Menjalani Operasi Double Valve Replacement Acid-base Management in Cardiopulmonary Bypass More recent articles
Most cited articles
Patofisiologi Penyakit Jantung Koroner Midazolam Intravena Dosis Rendah Tidak Mempengaruhi Nitric Oxide Intraperitoneal Mencit Balb/C Yang Terpapar Lipopolisakarida More cited articles
  1. Perdici. Pedoman Penyelenggaraan Pelayanan Intensive Care Unit (ICU) di Rumah Sakit. Perhimpunan Dokter Intensive Care Indonesia. 2018
  2. Ball JAS, Redman JW, Grounds RM. Severity of illness scoring systems – Do they tell us what we want to know?. London: Springer; 2002.911-33p
  3. Halim D, Murni T, and Redjeki I. Comparison Of Apache II, SOFA, And Modified SOFA Scores In Predicting Mortality Of Surgical Patients In Intensive Care Unit At Dr. Hasan Sadikin General Hospital. Crit Care & Shock. 2009; 12(4): 157-169
  4. Vincent J, Moreno R. Clinical review: Scoring systems in the critically ill. Critical Care. 2010; 14 (2): 1-9
  5. Moemen M. Prognostic categorization of intensive care septic patients. World Journal of Critical Care Medicine. 2012; 1(3): 67-79
  6. Samalavicius R, Ringaitienė D, Urbonas K, Misiurienė I, Norkūnas G, Valaika A, Kalinauskas G. Mortality prediction following CABG surgery: comparison of EuroSCORE vs general risk scoring systems. Acta medica Lituanica. 2013;20(1): 63
  7. Tewuh T, Lalenoh D, Kumaat L. Hubungan Skor SOFA Dengan Lama Rawat Inap Pasien Sepsis Pasca Laparotomi Di ICU Periode Juli 2012 – September 2013. Jurnal e-CliniC(eCl). 2014;2(2)
  8. Naqvi I, Mahmood K, Ziaullaha S, Kashif S, Sharif A. Better prognostic marker in ICU - APACHE II, SOFA or SAP II!. Pak J Med Sci. 2016;32(5): 1146-1151
  9. Bouch D, Thompson J. Severity scoring systems in the critically ill. Critical Care & Pain. 2008; 8(5): 181-184
  10. Ho, K.Combining Sequential Organ Failure Assessment (SOFA) Score with Acute Physiology and Chronic Health Evaluation (APACHE) II Score to Predict Hospital Mortality of Critically Ill Patients. Anaesthesia and Intensive Care. 2007;35(4): 515-521
  11. Knaus WA, Zimmerman JE, Wagner DP, Draper EA, Lawrence DE. APACHE-acute physiology and chronic health evaluation: a physiologically based classification system. Crit Care Med. 1981;9(8): 591-597
  12. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med.1985;13(10) :818-29
  13. Taofik S, Senapathi TGA, Wiryana M. Perbandingan validitas sistem skoring APACHE II, SOFA, dan customized sequential organ failure assessment (CSOFA) untuk memperkirakan mortalitas pasien non-bedah yang dirawat di ruang perawatan intensif. Jurnal Anestesiologi Indonesia . 2015;7(2) :104
  14. Vosylius, S., Sipylaite, J. and Ivaskevicius, J. 2004. Sequential Organ Failure Assessment Score As The Determinant Of Outcome For Patients With Severe Sepsis. Croat Med J.2004; 45(6):715-20
  15. Aryabiantara I, Wiryana M, Sinardja K, Senapathi TGA, Widnyana IMG, Panji PAS, Sidemen IGPS, Pradhana AP. Comparative Validity Sequential Scoring System Organ Failure Assesment (SOFA) and Quick - Sequential Organ Failure Assesment (qSOFA) on Estimating Mortality for Patients Treated in the Intensive Care Unit of Sanglah General Hospital. Journal of Aging Science. 2017; 08(05):1-5
  16. Fröhlich M, Wafaisade A, Mansuri A, Koenen P, Probst C, Maegele M, Bouillon B, Sakka S. Which score should be used for posttraumatic multiple organ failure? - Comparison of the MODS, Denver- and SOFA- Scores. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2016; 24 (130):1-8
  17. Sean P. Kane, B., 2018. Sequential Organ Failure Assessment (SOFA) Calculator - Clincalc.Com. [online]. Retrieved : June 5,2019, form : https://clincalc.com/IcuMortality/SOFA.aspx
  18. Armiati H, Arifin J, Saktini F. Hubungan APACHE II Score Dengan Angka Kematan Pasien di ICU RSUP DR. KARIADI. e-print undip.2014
  19. Jain A, Saroa R, Palta S, Palta A, Sama S, Gombar S. Sequential Organ Failure Assessment Scoring And Prediction Of Patient's Outcome In Intensive Care Unit Of A Tertiary Care Hospital. J Anaesthesiol Clin Pharmacol. 2016. 32(3): 364–368
  20. Damayanti E, Indriasari I, Fuadi I. Syok Indeks Dan Skor APACHE II Pada Pasien Yang Meninggal Di GICU RSUP Dr. Hasan Sadikin Bandung Tahun 2016. Jurnal Anestesi Perioperatif. 2018; 6(1) :13-20
  21. Sadaka F, EthmaneAbouElMaali C, Cytron M, Fowler K, Javaux V, O’Brien J. Predicting Mortality of Patients With Sepsis: A Comparison of APACHE II and APACHE III Scoring Systems. Journal of Clinical Medicine Research. 2017. 9(11) : 907-910
  22. Iskandar A, Siska F. Analisis Hubungan Sequential Organ Failure Assessment (Sofa) Score Dengan Mortalitas Pasien Sepsis. Jurnal Kesehatan Andalas. 2020; 9(2):168-173
  23. Ferreira FL, Bota DP, Bross A, Melot C, Vincent JL. Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA. 2001; 286(14):1754-1758
  24. Jentzer J, Bennett C, Wiley B, Murphree D, Keegan M, Gajic O, Wright R, Barsness G. Predictive Value of the Sequential Organ Failure Assessment Score for Mortality in a Contemporary Cardiac Intensive Care Unit Population. J Am Heart Assoc. 2018; 7(6):1-11
  25. Gupta V, Karnik N, Agrawal D. SOFA Score And Critically Ill Elderly Patients. Journal of The Association of Physicians of India. 2017; 65 :47-50
  26. Razack G, Kavya T, Manjunath B, Ali M, Avinash K, Harindranath H. Utility of sequential organ failure assessment score in predicting outcome for patients with peritoneal sepsis. International Surgery Journal. 2019; 6(3):696-701
  27. Tekade T, Manohar T. Utility of SOFA(Sequential Organ Function Assessment)score to predict outcome in critically ill patients at a tertiary care hospital,Nagpu. Panacea Journal of Medical Sciences. 2017; 7(3):140-146

Last update:

No citation recorded.

Last update: 2024-04-23 20:28:36

No citation recorded.