[Vital prognosis in severe acute hepatic failure. Value of the quantitative indexes of evaluation].

Abstract:

:The aim of this study was to assess the predictive value for mortality of admission and daily APACHE II score, mortality due to multiple organ failure and the Organ Failure Score in patients with acute hepatic failure. We retrospectively studied 15 such patients admitted to an intensive care unit. Thirteen patients died (87%) and their admission APACHE II score was 22 +/- 7.5 compared to 21 +/- 8.5 in survivors. Daily APACHE II score, mortality due to multiple organ failure and multiple organ failure score had a 100% sensitivity to predict mortality and a 69.2, 76.9 and 76.9% specificity respectively. The predictive accuracies of multiple organ failure and multiple organ failure score were 80% and significantly better than the accuracy of admission APACHE II score (53%). We conclude that these prognostic scores can be useful in the assessment of patients with acute hepatic failure.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Andresen M,Dussaillant G,Dougnac A,Arrese M,Arriagada D,Carlos Glasinovic J,Villarroel L

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

1373-8

issue

11

eissn

0034-9887

issn

0717-6163

journal_volume

123

pub_type

杂志文章
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