Volume 3 Supplement 1

ESICM LIVES 2015

Open Access

Direct-current potential in assessment of puerperas severity

  • I Zabolotskikh1,
  • T Musaeva1 and
  • E Denisova1
Intensive Care Medicine Experimental20153(Suppl 1):A344

https://doi.org/10.1186/2197-425X-3-S1-A344

Published: 1 October 2015

Introduction

At the present time, the clinicians utilize many score systems for assess the patient's state severity. The sensitivity and specificity of all the systems are vary depending on the score systems and the different groups of patients. Registration of the direct-current potential (DCP) in a forehead-palm lead allow the clinicians to identify three different functional state of the human body.

Objectives

To estimate the prognostic significance of the APACHE II, APACHE III, SAPS II, SAPS 3 and SOFA scoring systems in puerperas with different DC potential levels.

Methods

Retrospective study 367 puerperas with severe sepsis was performed. The median age was 26.0 (22,0-34,0) years.

All the patients were assessed using the APACHE II, APACHE III and SAPS II, SAPS 3 and SOFA scoring systems. Score systems were compared using a Hosmer-Lemeshow test and AUROC (Area Under Receiver Operator Curve). Three different functional states: compensated, subcompensated and decompensated were specified depending on the DCP level. Then, calculation of severity using the score systems were modified depending on the functional state. The score systems were compared using the Hosmer-Lemeshow test and AUROC (Area Under Receiver Operator Curve) again.

Results

The area under the ROC curve was 0.79 for APACHE II, 0.85 for APACHE III, 0.81 for SAPS II, 0.83 for SAPS 3 and 0.84 for SOFA. The Hosmer-Lemeshow goodness-of-fit test H statistic revealed poor performance for APACHE II and SAPS II systems. The sensitivity and specificity of APACHE II, APACHE III, SAPS II, SAPS 3 and SOFA scoring systems increases, when the functional state of the patient was taken into consideration. The area under the ROC curve was 0.83 for APACHE II, 0.89 for APACHE III, 0.84 for SAPS II, 0.88 for SAPS 3 and 0.91 for SOFA. But the Hosmer-Lemeshow goodness-of-fit test H statistic also revealed poor performance for APACHE II scoring system.

Conclusions

The functional state of the body can be determined by the DCP level. The functional state of the patient significantly influences the outcome. The functional state of the patient may be used for improvement of mortality prognosis.

Authors’ Affiliations

(1)
Kuban Medical University

References

  1. Zabolotskikh IB, Bolotnikov DV, Arzumanjan VM, Grigoriev SV, Musaeva TS, Babakov AS: The role of the direct-current potential in assessment of the patient´s state severity. European Journal of Anaesthesiology. 2006, 23 (Supplement 37): 199-View ArticleGoogle Scholar
  2. Zabolotskikh IB, Bolotnikov DV, Arzumanjan VM, Grigoriev SV, Musaeva TS, Babakov AS: Comparative study of lethality under different functional states determined by direct-current potential recording. European Journal of Anaesthesiology. 2006, 23 (Supplement 37): 204-View ArticleGoogle Scholar

Copyright

© Zabolotskikh et al.; 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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