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Validity of SOFA Score as Predictor of Mortality in Critically-ill Burn Patients

Completed
Conditions
Mortality Prediction
Interventions
Other: SOFA score
Registration Number
NCT03930108
Lead Sponsor
Indonesia University
Brief Summary

SOFA score is valid for mortality predictor for critically-ill patient in high care and intensive care burn unit

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
169
Inclusion Criteria
  • adult patients (age 18 and above) who admitted to burn unit during sampling period
Exclusion Criteria
  • patients discharged or deceased less than 24 hours of admission
  • patients referred to other hospital within 30 days admission

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Mortality outcomeSOFA score-
Primary Outcome Measures
NameTimeMethod
SOFA score Discrimination30 days from admission

SOFA score ability to discriminate outcomes based on variable scores: PaO2/FiO2; MAP/vasoactive treatment; serum creatinine or 24-h diuresis; platelet count; serum bilirubin; GCS

Correlation between SOFA score variables with outcome30 days from admission

Correlation between patient outcomes with each SOFA score variable: PaO2/FiO2; MAP/vasoactive treatment; serum creatinine or 24-h diuresis; platelet count; serum bilirubin; GCS

SOFA score Calibration30 days from admission

SOFA score cutoff to predict outcome based on variable scores: PaO2/FiO2; MAP/vasoactive treatment; serum creatinine or 24-h diuresis; platelet count; serum bilirubin; GCS

Secondary Outcome Measures
NameTimeMethod
SOFA score: Mean Arterial Pressure (MAP) or vasoactive agent usageDay 1

The score for MAP or vasoactive agent usage variable cutoff:

0 point for MAP \>=70 mmHg;

1. point for MAP \<70 mmHg;

2. points for dopamine \<= 5 mcg/kg/min OR dobutamine any dose;

3. points for dopamine \>5 mcg/kg/min OR norepinephrine or epinephrine \<=0.1 mcg/kg/min;

4. points for dopamine \>15 mcg/kg/min OR norepinephrine or epinephrine \>0.1 mcg/kg/min.

SOFA score: Serum creatinine or 24-hour diuresisDay 1

The score for serum creatinine or 24-hour diuresis variable cutoff:

0 point for creatinine \<1.2 mg/dL;

1. point for creatinine 1.2 - 1.9 mg/dL;

2. points for creatinine 2.0 - 3.4 mg/dL;

3. points for creatinine 3.5 - 4.9 mg/dL OR diuresis \<500 mL/24h;

4. points for creatinine \>5.0 mg/dL OR diuresis \<200 mL/24h.

Patient outcome30 days from admission

Patient outcome within 30 days of admission to burn units: deceased or survived

SOFA score: Serum BilirubinDay 1

The score for serum bilirubin variable cutoff:

0 point for \<1.2 mg/dL;

1. point for 1.2 - 1.9 mg/dL;

2. points for 2.0 - 5.9 mg/dL;

3. points for 6.0 - 11.9 mg/dL;

4. points for \>12.0 mg/dL.

SOFA score: Partial Oxygen Pressure (PaO2)/ Fraction of Inspired Oxygen (FiO2)Day 1

The score for PaO2/FiO2 variable cutoff:

0 point for \>400 mmHg;

1. point for \<400 mmHg;

2. points for \<300 mmHg;

3. points for \<200 mmHg with respiratory support;

4. points for \<100 mmHg with respiratory support.

SOFA score: Glasgow Coma Scale (GCS)Day 1

The score for GCS variable cutoff:

0 point for 15;

1. point for 13 - 14;

2. points for 10 - 12;

3. points for 6 - 9;

4. points for \<6L.

SOFA score: Platelet countDay 1

The score for platelet count variable cutoff:

0 point for \>=150 x10\^3/mm\^3;

1. point for \<150 x10\^3/mm\^3;

2. points for \<100 x10\^3/mm\^3;

3. points for \<50 x10\^3/mm\^3;

4. points for \<20 x10\^3/mm\^3.

Trial Locations

Locations (1)

Rumah Sakit Cipto Mangunkusumo

🇮🇩

Jakarta Pusat, DKI Jakarta, Indonesia

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