2University of Health Sciences, Bakırköy Sadi Konuk Education and Research Hospital, Thoracic Surgery Clinic, İstanbul, Turkey DOI : 10.31086/tjgeri.2018240414 Introduction: In elderly patients with clinically diagnosed sepsis, we investigated the performance of quick sepsis-associated organ failure assessment in admission to the mortality and intensive care unit and compared its performance with acute physiology and chronic health assessment, assessing systemic inflammatory response syndrome, sepsis-related organ failure.
Materials and Method: From February 2016 to February 2017, we retrospectively reviewed 92 elderly patients (?65 years of age) who were clinically diagnosed with sepsis in the intensive care unit. We compared the performance of organ failure assessment associated with sepsis, acute physiology and chronic health assessment II, systemic inflammatory response syndrome, and quick sepsis related with organ failure assessment, foreseeing a 28-day mortality in the intensive care unit.
Results: The scores of organ failure assessment associated with quick sepsis were 1 in 6.5% (n=6), 2 in 30.4% (n=28) and 3 in 63% (n=58) Mean sepsis-related organ failure rating score was 9.2±3.0, mean systemic inflammatory response syndrome score was 2.6±0.6, and acute physiology and chronic health assessment score II was 25.4±7.2. There was a statistically significant difference (p<0.001) between patients with mortality rates of> 7 and <7 and 81% and 31% respectively in patients with organ failure assessment score associated with sepsis.
Conclusion: Quick sepsis related organ failure assessment may be a better alternative in determining mortality risk, since it can be easily applied when compared to sepsis related organ failure assessment in geriatric patients.
Keywords : Organ dysfunction scores; Sepsis; Geriatrics; Critical care