بررسي وضعيت درجه بندي اختلال عملكرد ارگان ها در بيماران بستري بخش مراقبت هاي ويژه بيمارستان امام خميني (ره ) ساري ، سال 1383

Evaluation of multiple organ dysfunction score in intensive care unit patients in Imam Khomeini Hospital in 2004

Background and purpose: Intensive care unit is a subspecialty ward that manage critically ill patients. Scoring systems have been developed in intensive care medicine to predict the outcomes of patients admitted with severe illnesses resulting in significant mortality rates as well as to improveʹ resource allocation and to assist in clinical decision-making. This study was conducted to determine how multiple organ dysfunction score (MODS) would predict outcome and mortality of critically ill patients. Materials and methods : This was a prospective, observational and cohort study. One hundred patients who underwent mechanical ventilation in 2004 in the general ICU of Imam Khomeini hospital center were induded in the study. Each component score provides a quantitative measure of physiologic function over 24 hours, such that zero represents normal function, and 1,2,3, and 4 represent increasing physiologic derangement. Data were collected prospectively using forms and analyzed. Results : The mean age of the patients was 48.63 years. The mean age of patients were 41.66±16 in discharge patients and 55.6 ± 17 in dead patients. Mean discharge scores have been less than mean dead scors. Mean change scores have been reduced in comparison with baseline score (P<0.05). Conclusion : Our study showed that MODS have significant correlation with prediction of mortality. A significant correlation between age and mortality was also noted. It means that the mortality increases with age as mean change scores have been reduced in comparison with baseline (P<0.05). The results indicate that therapeutic measurement was effective in correlation with indicidual score.