ĐÁNH GIÁ GIÁ TRỊ TIÊN LƯỢNG TỬ VONG CỦA THANG ĐIỂM SIC Ở BỆNH NHÂN SỐC NHIỄM KHUẨN

Abstract

Objectives: Evaluate the mortality prognostic value of SIC scale in the first 7 days in septic shock patients. Materials and method: Prospective Descriptive Study on 108 septic shock patients treated in the Center of Emergency, Intensive Care Medicine and Clinical Toxicology - 103 Military Hospital - Vietnam Military Medical University from 04/2021 to 03/2023. Results: The proportion of patients with SIC increased from 63.0% to 78.6% in the first 3 days, then gradually decreased and was lowest on the 7^th day (56.3 %). Over the study periods, 84.3% of patients had SIC status. The SIC score in the death group was higher than the survival group on the 1^st, 3^rd, 5^th and 7^th day, p<0,05. SIC scores on the 1^st, 3^rd, 5^th, and 7^th day had weak, quite good, quite good and good mortality prognostic values with AUC of 0.620, 0.710, 0.751 and 0.826, p<0.01. The group of patients with SIC status had a higher risk of death than the group without SIC, with OR=5.99 (95%CI:1.8-19.9, p<0.01). Conclusions: The SIC scores in the death group were higher than in the survival group. The SIC score had weak, quite good, quite good, and good mortality prognostic value on the 1^st, 3^rd, 5^th, and 7^th day. The SIC status was a valuable predicting mortality factor in septic shock patients.