Predicting Surgery Needs in Abdominal Aortic Aneurysm Patients Using SOFA Score
Author Information
Author(s): Weng Chao, Yu Cong, Yang Guang-wei, Jiang Jin-song, Wu Hao
Primary Institution: Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China
Hypothesis
The SOFA score can predict the need for surgery in patients with unruptured abdominal aortic aneurysms.
Conclusion
The SOFA score is a useful indicator for predicting the need for surgery in patients with unruptured abdominal aortic aneurysms.
Supporting Evidence
- High SOFA scores were significantly correlated with the need for surgery.
- The SOFA score showed favorable prediction performance with an AUC of 0.701.
- Combining SOFA with lactate and gender improved prediction performance to an AUC of 0.888.
- SOFA score was associated with hospital length of stay and in-hospital mortality.
Takeaway
Doctors can use a score called SOFA to help decide if patients with a certain type of blood vessel problem need surgery.
Methodology
This retrospective study analyzed data from 322 patients using logistic regression and ROC analysis to assess the SOFA score's predictive ability for surgery needs.
Potential Biases
Potential biases due to the retrospective nature of the study and missing data on certain variables.
Limitations
The sample size was limited, and the study lacked internal and external validation.
Participant Demographics
Patients diagnosed with unruptured AAA, aged 18 years and older, admitted to ICU.
Statistical Information
P-Value
P<0.05
Confidence Interval
95%CI: [0.596, 0.802]
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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