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  3. 12.Is Sequential Organ Failure Assessment (SOFA) Score the Real Predictor of Mortality in Resource Constrained Critical Care?
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12.Is Sequential Organ Failure Assessment (SOFA) Score the Real Predictor of Mortality in Resource Constrained Critical Care?

Shamim Kausar, Saba Mehkari, Anum Qader, Zeeshan Ali, Marium Fatima Waqar and Shabnam Naveed

ABSTRACT

Objective: To determine whether predicted mortality through SOFA score would correctly reflect actual mortality in resource limited setups.

Study Design: Retrospective cross-sectional observational study

Place and Duration of Study: This study was conducted at the Jinnah Postgraduate Medical Center, Karachi from 1st August 2022 to 31st October 2022.

Materials and Methods: SOFA score was calculated at the time of admission for all included patients and percentages of predicted mortalities were documented. Actual mortalities were compared with SOFA score predicted mortality for accuracy of the mortality prediction tool.

Results: A total of 229 patients were enrolled in the study. The mean SOFA score of all patients included in the study was calculated to be 8.310±4.599 pertaining to a predicted mortality of ≤33%. The actual mortality was calculated to be 46.95%. Amongst medical, surgical and gynecology subgroups of patient the expected mortality was ≤33% for each group while the actual mortalities were 51.91%, 25% and 33% respectively.

Conclusion: The SOFA score proved to be over all inaccurate at predicting actual mortality in our study. Accurate prediction was only seen amongst surgical and Gynecology sub groups of patients and also in patients admitted with diagnoses of Organophosphate Poisoning, Diabetic ketoacidosis with Multi-Organ Dysfunction, Guillain Barre Syndrome (GBS), and Tetanus, eclampsia and pre / post-exploratory laparotomy.

Key Words: Critical illness; mortality; organ dysfunction scores; resource allocation; SOFA score

Citation of article: Kausar S, Mehkari S, Qader A, Ali Z, Waqar MF, Naveed S. Is Sequential Organ Failure Assessment (SOFA) Score the Real Predictor of Mortality in Resource Constrained Critical Care? Med Forum 2023;34(6):49-53.