The Simplified Acute Physiology Score III Is Superior to the Simplified Acute Physiology Score II and Acute Physiology and Chronic Health Evaluation II in Predicting Surgical and ICU Mortality in the “Oldest Old”
Joint Authors
Parcells, Alexis Lanteri
Chamberlain, Ronald S.
Patil, Sachin
Haq, Aftab
Source
Current Gerontology and Geriatrics Research
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-17
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Elderly patients in the USA account for 26–50% of all intensive care unit (ICU) admissions.
The applicability of validated ICU scoring systems to predict outcomes in the “Oldest Old” is poorly documented.
We evaluated the utility of three commonly used ICU scoring systems (SAPS II, SAPS III, and APACHE II) to predict clinical outcomes in patients > 90 years.
1,189 surgical procedures performed upon 951 patients > 90 years (between 2000 and 2010) were analyzed.
SAPS II, SAPS III, and Acute APACHE II were calculated for all patients admitted to the SICU.
Differences between survivors and nonsurvivors were analyzed using the Student’s t-test and binary logistic regression analysis.
A receiver operating characteristic (ROC) curve was constructed for each scoring system studied.
The area under the ROC curve (aROC) for the SAPS III was 0.81 at a cut-off value of 57, whereas the aROC for SAPS II was 0.75 at a cut-off score of 44 and the aROC for APACHE II was 0.74 at a cut-off score of 13.
The SAPS III ROC curve for prediction of hospital mortality exhibited the greatest sensitivity (84%) and specificity (66%) with a score of 57 for the “Oldest Old” population.
American Psychological Association (APA)
Haq, Aftab& Patil, Sachin& Parcells, Alexis Lanteri& Chamberlain, Ronald S.. 2014. The Simplified Acute Physiology Score III Is Superior to the Simplified Acute Physiology Score II and Acute Physiology and Chronic Health Evaluation II in Predicting Surgical and ICU Mortality in the “Oldest Old”. Current Gerontology and Geriatrics Research،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-509425
Modern Language Association (MLA)
Haq, Aftab…[et al.]. The Simplified Acute Physiology Score III Is Superior to the Simplified Acute Physiology Score II and Acute Physiology and Chronic Health Evaluation II in Predicting Surgical and ICU Mortality in the “Oldest Old”. Current Gerontology and Geriatrics Research No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-509425
American Medical Association (AMA)
Haq, Aftab& Patil, Sachin& Parcells, Alexis Lanteri& Chamberlain, Ronald S.. The Simplified Acute Physiology Score III Is Superior to the Simplified Acute Physiology Score II and Acute Physiology and Chronic Health Evaluation II in Predicting Surgical and ICU Mortality in the “Oldest Old”. Current Gerontology and Geriatrics Research. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-509425
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509425