The Effects of Modified Sequential Organ Failure Assessment Compared with Modified Early Warning Score in Sepsis Patients at Intensive Care Unit, Lerdsin Hospital

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Published: Sep 28, 2020
Keywords:
patients with sepsis modified sequential organ failure assessment intensive care unit

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Pensri Onswadipong
Lerdsin hospital

Abstract

This quasi-experimental study aimed at comparing clinical outcome assessment of using the modified sequential organ failure assessment (MSOFA) and the modified early warning score (MEWS) in 338 severe sepsis patients. A sample of 166 patients was assigned to the control group and assessed with MEWS from 1st April-31th August 2019. A sample of 172 patients was assigned to the study group and assessed with MSOFA from 1st September 2019-31th January 2020. Clinical outcomes on mortality, complications, level of severity, and length of stay in ICU were collected and analyzed using Fisher's Exact test, Wilcoxon rank-sum test, Kaplan-Meier method and Log-rank test. 


The findings revealed that there was significantly different (p<0.05) on death in ICU within 72 hours, complications, and length of stay in ICU of the patients between the study and the control groups. The average score on severity of organ failure among the deceased patients after ICU admission at the beginning 0, 24, 48, and 72 hours in the control group was increased (8.42, 11.67, 15.00, and 16.00 respectively). In contrast, the average score on severity of organ failure among the deceased patients in the control group was decreased (7.17, 5.88, 5.93, and 5.67 respectively). After 45 days of treatment, the patients had a 50% chance of survival. Comparing time period from admission to death of the patients, the study group was significantly different from the control group (p<.001). Thus, MSOFA was quite appropriate for assessing unexpected clinical outcomes of critically ill-patients. The severity of score changing in each parameter, in which increased, could indicate the degree of severity, failure, or malfunction of each organ system.

Article Details

How to Cite
Onswadipong, P. . (2020). The Effects of Modified Sequential Organ Failure Assessment Compared with Modified Early Warning Score in Sepsis Patients at Intensive Care Unit, Lerdsin Hospital . Journal of Nursing Division, 47(2), 88–103. retrieved from https://he01.tci-thaijo.org/index.php/JND/article/view/249917
Issue
Vol. 47 No. 2 (2020): May - August
Section
บทความการศึกษาวิจัย

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