This article includes a list of references, related reading, or external links, but its sources remain unclear because it lacks inline citations. (May 2018) |
This article needs additional citations for verification. (February 2024) |
The Simplified Acute Physiology Score III (SAPS III) is a system for predicting mortality, one of several ICU scoring systems. It is a supplement to the SAPS II scoring system. It has been designed to provide a real-life predicted mortality for a patient by following a well defined procedure, based on a mathematical model that needs calibration.[1][2][3] Predicted mortalities are good when comparing groups of patients, and having near-real-life mortalities means, that this scoring system can answer questions like "if the patients from hospital A had been in hospital B, what would their mortality have been?".
However, in order to achieve this functionality, you must calibrate the system, which is additional effort, and it is difficult to compare two groups of patients if they were not scored using the same calibration. SAPS III is therefore not suitable by itself for publishing data about the morbidity of a single group of patients.
The SAPS III project is conducted by the SAPS III Outcomes Research Group (SORG).
Some shared calibrations make it possible to calculate a calibration-specific SAPS III score using paper forms.
DID SAPS III
editThe Danish Intensive care Database (DID) has a standard-form to calculate SAPS III scores for their specific purpose, and require participating ICUs to provide:[citation needed]
- Age
- Length of hospital stay before admission to the ICU
- What kind of department did the patient arrive from
- A checklist of specific diagnoses that the patient has had
- Earlier treatments using vasoactive drugs
- Was the patient admitted acutely or planned?
- A checklist of why the patient was admitted to the ICU
- Surgery: Acute surgery, planned surgery or no surgery
- Type of surgery
- Acute infections at admission
- Estimated Glasgow Coma Score
- Serum Bilirubin
- Body temperature
- Serum Creatinine
- Heart Rate
- Leukocyte count
- pH
- Thrombocyte (platelet) count
- Systolic blood pressure
- Oxygenation (PaO2/FiO2 and PaO2, ventilation)
Each of these values are given points based on value intervals, similar to SAPS II, and a score is calculated. The actual result is not a general SAPS III score, but can be considered an updated version of SAPS II.
References
edit- ^ Vazquez, Guillermo; Benito, Salvador; Rivera, Ricardo; from the Spanish Project for the Epidemiological Analysis of Critical Care Patients (2003-03-03). "Simplified Acute Physiology Score III: a project for a new multidimensional tool for evaluating intensive care unit performance". Critical Care. 7 (5): 345. doi:10.1186/cc2163. ISSN 1364-8535. PMC 270708. PMID 12974964.
- ^ Haq, Aftab; Patil, Sachin; Parcells, Alexis Lanteri; Chamberlain, Ronald S. (2014-02-17). "The Simplified Acute Physiology Score III Is Superior to the Simplified Acute Physiology Score II and Acute Physiology and Chronic Health Evaluation II in Predicting Surgical and ICU Mortality in the "Oldest Old"". Current Gerontology and Geriatrics Research. 2014: e934852. doi:10.1155/2014/934852. ISSN 1687-7063. PMC 3948612. PMID 24696680.
- ^ Lee, Dh; Lee, Bk (2017-03-15). "Performance of the simplified acute physiology score III in acute organophosphate poisoning: A retrospective observational study". Human & Experimental Toxicology. 37 (3): 221–228. doi:10.1177/0960327117698541. ISSN 0960-3271.