Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 4 ( July-August, 2023 ) > List of Articles


Sequential Organ Failure Assessment Scoring Tool for Prediction of Outcome in Obstetric Intensive Care Unit at Tertiary Care Center

Nupur Anand, AV Gokhale

Keywords : Maternal mortality, Obstetric intensive care unit, Sequential organ failure assessment score

Citation Information : Anand N, Gokhale A. Sequential Organ Failure Assessment Scoring Tool for Prediction of Outcome in Obstetric Intensive Care Unit at Tertiary Care Center. J South Asian Feder Obs Gynae 2023; 15 (4):456-461.

DOI: 10.5005/jp-journals-10006-2290

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: World Health Organization defines maternal death as the death of a woman while pregnant or within 42 days of termination of pregnancy from any cause related to or aggravated by the pregnancy or its management, irrespective of the duration and the site of the pregnancy, but not from accidental or incidental causes. Different types of scores have been used to know the degree of organ failure and outcome or prognosis of the disease during ICU stay. The sequential organ failure assessment (SOFA) score is one of the recent scores, which is used to know the degree of organ failure. Aim and objectives: To validate that SOFA score can be used to know the prognosis of patients in the obstetric intensive care unit (ICU) and to decide treatment accordingly. Materials and methods: Organ failure was evaluated based on the maximum score for each one of its six components and from that total maximum SOFA score was calculated. The study was conducted in the Department of Obstetrics and Gynaecology, Baroda Medical College and SSG Hospital, Vadodara, Gujarat, India from 1 September 2017 to 31 August 2018. Results: The SOFA score trend in the patients who recovered was negative and showed a significant decrease with respect to time whereas the SOFA score trend in the patients who deteriorated and expired was positive and showed a significant increase. Interpretation of the area under the receiver operating characteristic (ROC) curve showed that the performance of the total maximum SOFA score was excellent [area under the curve (AUC) 0.972; 95% confidence interval (CI): 0.917–0.995]. Conclusion: Total maximum SOFA score proved to be an effective tool in obstetrics ICU in evaluating the severity of disease and estimating the prognosis of the patient.

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