The clinical efficacy of GOCA scoring system in patients with acute respiratory distress syndrome

Title
The clinical efficacy of GOCA scoring system in patients with acute respiratory distress syndrome
Authors
Jega, l. Y.; Lee, S.I.; Lee, K.H.; Oh, Y.M.; Shim, T.S.; Lim, C.M.; Do Lee, S.; Kim, W.S.; Kim, D.S.; Kim, W.D.; Koh, Y.
Keywords
respiratory distress syndrome, GOCA, severity scoring system
Issue Date
2008-06
Publisher
KOREAN ACAD MEDICAL SCIENCES
Abstract
To explore the following hypotheses: 1) Gas exchange, Organ failure, Cause, Associated disease (GOCA) score, which reflects both general health and the severity of lung injury, would be a better mortality predictor of acute respiratory distress syndrome (ARDS) than acute physiology and chronic health evaluation (APACHE II) or simplified acute physiology score (SAPS II), which are not specific to lung injury, and lung injury score (LIS) that focuses on the lung injury; 2) the performance of APACHE II and SAPS II will be improved when reinforced by LIS, we retrospectively analyzed ARDS patients (N=158) admitted to a medical intensive care unit for five years. The overall mortality of the ARDS patients was 53.2%. Calibrations for all models were good. The area under the curve of (AUC) of LIS (0.622) was significantly less than those of APACHE II (0.743) and SAPS II (0.753). The AUC of GOCA (0.703) was not better than those of APACHE II and SAPS II. The AUCs of APACHE If and SAPS II tended to further increase when reinforced by LIS. In conclusion, GOCA was not superior to APACHE II or SAPS II. The performance of the APACHE II or SAPS II tended to improve when combining a general scoring system with a scoring system that focused on the severity of lung injury.
URI
http://dspace.inha.ac.kr/handle/10505/1946
ISSN
1011-8934
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Journal Papers, Reports(의학 논문, 보고서)
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