TISS 28 or SOFA: good predicting factors for admission in a surgical intensive care unit longer than 24 hours
Raksakietisak, M.; Toomtong, P.; Vorakitpokatorn, P.; Sengleulur, A.; Sunjohndee, M.
Journal of the Medical Association of Thailand 89(5): 648-656
2006
ISSN/ISBN: 0125-2208 PMID: 16756051 Document Number: 595862
Objectives: To investigate the application of the Therapeutic Intervention Scoring System (TISS-28) and Sequential Organ Failure Assessment (SOFA) score to the surgical intensive care patients, and to find associated factors affecting. length of stay (LOS).Material and Method: Prospective data; from 1(st) July 2004 to 31(st) December 2004 at Siriraj Hospital. TISS-28 and SOFA and other data were recorded within the first 24 hours of ICU admission.Results: Average TISS-28 and SOFA values for patients who required > 24 hr ICU stay were significantly different from those who required < 24 hr ICU stay (29.7 +/- 7.9 and 3.1 +/- 2.8 points versus 19.4 +/- 5.9 and 1.1 +/- 1. 9 points, respectively p < 0.001). The other independent predictors of LOS > 24 hrs were ventilator support; vasoactive agents administration, central venous line insertion, emergency operation, renal dysfunction, and post-operative fever.Conclusion: The severity scores (TISS 28 and SOFA) can sufficiently demonstrate the workload and also the good predictors of ICU length of stay.