The pattern of organ failure scores for patients in the ICU can be used to predict mortality.
Patterns of Change in Organ Failure Score (OFS)
Associated with Patient Death
Day in ICU
OFS > 35
((OFS day 1 > 27),
(OFS day 1 <=35),
((OFS day 1) - (OFS day 2) < 2.5))
(( OFS day n > 27)
((OFS day n) - (OFS day n-1) > 2.5))
gradual increase in OFS to > 35
• increases in OFS are unexplained by surgery or major iatrogenic complications
Performance analysis at the Riyadh Intensive Care Program (Western Infirmary, Glasgow) showed that the mortality prediction algorithm has the a sensitivity equivalent to APACHE II (68%), but provides better specificity (95% vs 85%).
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Purpose: Tp analyze the trend in organ failure scores to predict ICU patient mortality.
Specialty: Critical Care, Emergency Medicine
Objective: severity, prognosis, stage