Turkish Journal of Geriatrics 2016 , Vol 19, Issue 3
EFFECTIVENESS OF SCORING IN OUTCOME PREDICTION OF ELDERLY PATIENTS IN INTENSIVE CARE UNITS
Ayşe Pervin SUTAŞ BOZKURT1, Pervin ÇAVUŞOĞLU2, Gülşah KARAÖREN3, Tamay ALPİN FİNCİ4, Ahmet DİRİCAN5, Banu VURAL GÖKAY6, Beliz BİLGİLİ7
1Ä°stanbul University CerrahpaÅŸa Medical Faculty, Department of Anesthesiology and Reanimation, Ä°STANBUL
2Reyap Hospital, Department of Anesthesiology and Reanimation, Ä°STANBUL
3Ãœmraniye Training and Research Hospital, Department of Anesthesiology and Reanimation, Ä°STANBUL
4Mehmet Akif Training and Research Hospital, Department of Anesthesiology and Reanimation, Ä°STANBUL
5Ä°stanbul University, Ä°stanbul Faculty of Medicine, Department of Department of Anesthesiology and Reanimation, Ä°STANBUL
6Acıbadem University, Atakent Medical Center, Department of Anesthesiology and Reanimation, İSTANBUL
7Marmara University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Ä°STANBUL
Introduction: Scoring systems defining the severity of illnesses also predict the risk of mortality in intensive care units (ICUs). The aim of this study is to detect if APACHE II and SAPS II scores are highly sensitive in the prediction of survival in elderly in the ICU.

Materials and Method: Patients >70 years, admitted to the ICU during 2006–2011 were included. Demographic information, diagnosis at admission, comorbidities, duration of ICU stay, survival/mortality and, APACHE II, SAPS II scores at admission and standardized mortality rate (SMR) were recorded. The specificity and sensitivity predictive values of APACHE II and SAPS II scores were calculated on death or survival.

Results: A total of 176 patients aged 70–94 (mean±sd=79.8±5.3) years stayed in the ICU for 1–67 (mean±SD: 8.4±10.3) days, and the mortality rate (MR) was 36.9%. There was a significant relationship of APACHE II and SAPS II scores with the MR. The significance of area under the curve was greater for the APACHE II score than SAPS II score, and the significance scores increased for patients aged 80–85 and >90 years. The cut-off values were 22.5 and 43.5 for the APACHE II and SAPS II scores. SMRs were 77%, 82% and 80% for APACHE II predicted, APACHE II adjusted and SAPS II predicted MRs.

Conclusion: Success rate similar to that in the general population could be achieved in the ICU with the elderly, and APACHE II and SAPS II scores showed similar accuracy in the prediction of mortality and both were reliable for patients aged >70 years. Keywords : Health Status Indicators; Apache; Outcome Assessment (Health Care)/methods