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Application of the Sequential Organ Failure Assessment (SOFA) Score to Patients With Cancer Admitted to the Intensive Care Unit

Intensive Care Unit, Instituto Nacional de Cancerologia, Intensive Care Unit, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City, Mexico

Julia Texcocano-Becerra, RN

Intensive Care Unit, Instituto Nacional de Cancerologia

Angel Herrera-Gómez, MD

Department of Surgical Oncology Instituto Nacional de Cancerología

The aim of the current study was to describe the utility of the Sequential Organ Failure Assessment score in assessing the severity of organ dysfunction in patients with cancer before admission to the intensive care unit. This was a prospective cohort study performed from January to October 2007. The Sequential Organ Failure Assessment score was recorded before admission to intensive care unit. Two hundred patients were included. The Sequential Organ Failure Assessment score of patients having survived the intensive care unit stay was 3.44 ± 3.56 and of the patients no survivor’s was 9.35 ± 3.45. There were 89.5% of the patients who had 2 or more organ dysfunctions. The area under the receiver operating characteristic curve for score Sequential Organ Failure Assessment was 0.87. The mortality in the intensive care unit was 27.5%. The Sequential Organ Failure Assessment score was predictive for survival in intensive care unit when applied before admission.

Key Words: intensive care unit • critical care • outcome • SOFA • organ failure • organ dysfunction • critically ill • cancer

This version was published on October 1, 2009

American Journal of Hospice and Palliative Medicine®, Vol. 26, No. 5, 341-346 (2009)
DOI: 10.1177/1049909109333041


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