INTRODUCTION Hemodynamic goals in the treatment of acute circulatory failure (ACF) are controversial. In critical care, organ failures can be assessed using Sequential Organ Failure Assessment and its refinement, total maximal Sequential Organ Failure Assessment (TMS). We studied the associations between resolution of ACF and hemodynamics in the early (< 24 hours) phase of intensive care unit c...

Intensive care unit mortality is strongly associated with organ failure rate and severity. The sequential organ failure assessment (SOFA) score is assessed to evaluate its efficacy as a diagnostic indicator. Statistical analyses investigate the SOFA score distributions in the days leading up to patient mortality and patient discharge. It is found that the SOFA score is not an effective predicto...

To the Editor: The study by Grissom et al1 demonstrated a high correlation of the Modified Sequential Organ Failure Assessment (MSOFA) with the Sequential Organ Failure Assessment (SOFA) to predict mortality in patients with critical illnesses. The accompanying editorial by Rubinson et al2 cautioned readers not to rely solely on the SOFA or MSOFA score to prioritize patients during a mass criti...

OBJECTIVE To perform a serial assessment and compare ability in predicting the intensive care unit (ICU) mortality of the multiple organ dysfunction score (MODS), sequential organ failure assessment (SOFA) and logistic organ dysfunction (LOD) score. MATERIAL AND METHOD The data were collected prospectively on consecutive ICU admissions over a 24-month period at a tertiary referral university ...

BACKGROUND Controversy exists regarding the influence of gender on sepsis events and outcome. Epidemiological data from other countries may not always apply to local circumstances. The aim of this study was to identify gender differences in patient characteristics, treatment, and outcome related to the occurrence of sepsis at admission to the ICU. METHODS A prospective observational cohort st...

Methods We reviewed the data of liver transplant recipients who underwent percutaneous dilational tracheotomy in Baskent University Hospital between January 2010 and March 2015. Collected data included demographics (age, sex, body weight, length); etiology of chronic liver failure; comorbidities; Child, Model for End Stage Liver Disease (MELD), acute physiology and chronic health evaluation II ...

In the practice of medicine, multiple scores and prognostic systems have been developed to quantify disease severity, assess prognosis, and guide therapeutic interventions. The Glasgow Coma Scale, the Model for End Stage Liver Disease (MELD), and the American Society of Anesthesiologists Physical Status Classification are but a few examples. Heterogeneity in the practice of intensive care medic...

INTRODUCTION Recognition of patterns of organ failure may be useful in characterizing the clinical course of critically ill patients. We investigated the patterns of early changes in organ dysfunction/failure in intensive care unit (ICU) patients and their relation to outcome. METHODS Using the database from a large prospective European study, we studied 2,933 patients who had stayed more tha...