GIÁ TRỊ THANG ĐIỂM SOFA, NỒNG ĐỘ LACTAT VÀ PROCALCITONIL TRONG TIÊN LƯỢNG TỬ VONG DO SỐC NHIỄM KHUẨN TẠI TRUNG TÂM BỆNH NHIỆT ĐỚI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

Study aim: Evaluation of  the mortality prognosis in sepsis shock patient using SOFA score, Lactat concentration and Procalcitonin.

Subjects and method: descriptive study of 175 sepsis shock cases admitted to Tropical center- Nghe An Friendship general hospital.

Result: The fatality rate of patients caused by sepsis shock was 64.75%. The average SOFA score of death group was 11.6 ±2.8, SOFA score is a valued reference in mortality prognosis due to sepsis shock. The average concentration of lactat in death group or go-home-to-die group was 8.6± 4.7. The cut-off point of lactat concentration in mortality prognosis was 7.83 with the sensitivity of 50.0% and the specificity of 68.4%. The average concentration of procalcitonin in death group or go-home-to-die group was 67 ±37.1.

Conclusion: The SOFA score had great value in mortality prognosis of death/severe patients due to sepsis shock. The lactat concentration at the diagnose time of sepsis shock had an average prognosis value. The PCT concentraion in this study did not show a significant correlation with mortality prognosis.