The relationship of simplified acute physiology score 3 (SAPS 3) and C-reactive protein (CRP) levels with mortality rates and length of stay of patients in surgical intensive care unit

Year 2019, , 751 - 756, 04.09.2019

İbrahim Mungan , Sema Turan , Dilek Kazancı , Hayriye Cankar Dal Serdar Yamanyar Sultan Sevim Yakın Erdal Birol Bostancı

https://doi.org/10.18621/eurj.422079

Abstract

Objectives: The individual risk of surgical patients is more often
underestimated and < 15% of patients who underwent surgery were admitted to
ICU. The prognostic scores were developed to assess the mortality rate and
prognosis for critical patients including surgical ones. The
Acute Physiology and Chronic Health Evaluation (APACHE) score and the Simplified
Acute Physiology Score (SAPS) were most popular ones and they were revised with the improvements
in health care opportunities. As a prognostic scoring system SAPS 3’ results
were defined as excellent in high risk surgical patient study group. CRP is
useful as a prognostic indicator or an index of disease progression but its
value has not been tested in acute settings adequately. The aim of this study
is to test the calibration power of SAPS 3 score and identify correlations
between hospital mortality and patient outcomes with SAPS 3 scores and CRP
levels.

Methods: This retrospective and
analytical study was conducted one year period in surgical ICUs of tertiary
level of attention in a public institution. It was a case–control medical record review and the
patients included in this study were those who admitted in the surgical ICU for
any reason.

Results: A total of 806 patients admitted to the
Gastroenterological surgical ICU was included in the study between March 2016
and March 2017. The relation between mortality rate, length of stay in ICU and
SAPS 3 score was significant statistically and the relation of CRP levels with
SAPS score and mortality rate was found significant statistically.

Conclusion: The discriminative power of SAPS 3 score was very good
and the calibration was appropriate. 

Keywords

Simplified Acute Physiology Score, C-reactive protein, mortality, surgical intensive care unit

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