Guilan University of Medical Science, Trauma Research Center, Guilan,
Predicting the Destiny after Severe Traumatic Brain Injury; Multi Organ Dysfunction Syndrome (MODS) or Sequential Organ Failure Assessment (SOFA)?
Author(s): Sara Ramtinfar, Yousefzadeh Chabok Sh, Jafari Chari A and Kazemnejad Leili ESara Ramtinfar, Yousefzadeh Chabok Sh, Jafari Chari A and Kazemnejad Leili E
Purpose: To compare the outcome prediction ability of SOFA and MOD scoring systems, in the subset of ICU patients with severe traumatic brain injury. Materials and Methods: We performed a descriptive analytic study at Poursina hospital, a tertiary care trauma center. A number of 83 patients with severe traumatic brain injury who admitted to ICU between November 2012 and December 2013 were included. SOFA and MOD scores were calculated for each patient on a daily basis and areas under receiver operating characteristic curves were used to compare the discriminative ability of two scoring systems. Results: Out of 83 patients, 23 died (27.71%). AUROC curve for SOFA and MOD score were 0.514 and 0.510 respectively on admission, 0.587 and 0.512 on the second day of admission, 0.779 and 0.749 on the fourth day of admission and 0.978 and 0.824 after two weeks. Both systems were unreliable pre.. Read More»