PMID- 24987236
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20140702
LR  - 20211021
IS  - 0972-5229 (Print)
IS  - 1998-359X (Electronic)
IS  - 0972-5229 (Linking)
VI  - 18
IP  - 6
DP  - 2014 Jun
TI  - The ability of two scoring systems to predict in-hospital mortality of patients 
      with moderate and severe traumatic brain injuries in a Moroccan intensive care 
      unit.
PG  - 369-75
LID - 10.4103/0972-5229.133895 [doi]
AB  - AIM OF STUDY: We aim to assess and to compare the predicting power for 
      in-hospital mortality (IHM) of the Acute Physiology and Chronic Health 
      Evaluation-II (APACHE-II) and the Simplified Acute Physiology Score-II (SAPS-II) 
      for traumatic brain injury (TBI). PATIENTS AND METHODS: This retrospective cohort 
      study was conducted during a period of 2 years and 9 months in a Moroccan 
      intensive care unit. Data were collected during the first 24 h of each admission. 
      The clinical and laboratory parameters were analyzed and used as per each scoring 
      system to calculate the scores. Univariate and multivariate analyses through 
      regression logistic models were performed, to predict IHM after moderate and 
      severe TBIs. Areas under the receiver operating characteristic curves (AUROC), 
      specificities and sensitivities were determined and also compared. RESULTS: A 
      total of 225 patients were enrolled. The observed IHM was 51.5%. The univariate 
      analysis showed that the initial Glasgow coma scale (GCS) was lower in 
      nonsurviving patients (mean GCS = 6) than the survivors (mean GCS = 9) with a 
      statistically significant difference (P = 0.0024). The APACHE-II and the SAPS-II 
      of the nonsurviving patients were higher than those of the survivors 
      (respectively 20.4 +/- 6.8 and 31.2 +/- 13.6 for nonsurvivors vs. 15.7 +/- 5.4 and 22.7 
      +/- 10.3 for survivors) with a statistically significant difference (P = 0.0032 for 
      APACHE-II and P = 0.0045 for SAPS-II). Multivariate analysis: APACHE-II was 
      superior for predicting IHM (AUROC = 0.92). CONCLUSION: The APACHE-II is an 
      interesting tool to predict IHM of head injury patients. This is particularly 
      relevant in Morocco, where TBI is a greater public health problem than in many 
      other countries.
FAU - Nejmi, Hicham
AU  - Nejmi H
AD  - Department of Anaesthesia, Emergency and Intensive Care Medicine, 
      University-Hospital Mohammed VI, Medical School of Marrakech, Cadi Ayyad 
      University, Marrakech, Morocco.
FAU - Rebahi, Houssam
AU  - Rebahi H
AD  - Department of Anaesthesia, Emergency and Intensive Care Medicine, 
      University-Hospital Mohammed VI, Medical School of Marrakech, Cadi Ayyad 
      University, Marrakech, Morocco.
FAU - Ejlaidi, Aziz
AU  - Ejlaidi A
AD  - Department of Anaesthesia, Emergency and Intensive Care Medicine, 
      University-Hospital Mohammed VI, Medical School of Marrakech, Cadi Ayyad 
      University, Marrakech, Morocco.
FAU - Abouelhassan, Taoufik
AU  - Abouelhassan T
AD  - Department of Anaesthesia, Emergency and Intensive Care Medicine, 
      University-Hospital Mohammed VI, Medical School of Marrakech, Cadi Ayyad 
      University, Marrakech, Morocco.
FAU - Samkaoui, Mohamed Abdenasser
AU  - Samkaoui MA
AD  - Department of Anaesthesia, Emergency and Intensive Care Medicine, 
      University-Hospital Mohammed VI, Medical School of Marrakech, Cadi Ayyad 
      University, Marrakech, Morocco.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Crit Care Med
JT  - Indian journal of critical care medicine : peer-reviewed, official publication of 
      Indian Society of Critical Care Medicine
JID - 101208863
PMC - PMC4071681
OTO - NOTNLM
OT  - In-hospital mortality
OT  - prediction
OT  - traumatic brain injury
COIS- Conflict of Interest: None declared.
EDAT- 2014/07/06 06:00
MHDA- 2014/07/06 06:01
PMCR- 2014/06/01
CRDT- 2014/07/03 06:00
PHST- 2014/07/03 06:00 [entrez]
PHST- 2014/07/06 06:00 [pubmed]
PHST- 2014/07/06 06:01 [medline]
PHST- 2014/06/01 00:00 [pmc-release]
AID - IJCCM-18-369 [pii]
AID - 10.4103/0972-5229.133895 [doi]
PST - ppublish
SO  - Indian J Crit Care Med. 2014 Jun;18(6):369-75. doi: 10.4103/0972-5229.133895.