Prevalencia de los componentes del Sofa Score en pacientes con sepsis en la unidad de cuidados intensivos del Hospital de Especialidades Teodoro Maldonado en el período 2017-2019.

Abstract

Importance: Sepsis is a severe medical condition which is often under-diagnosed. There are no prevalence studies of organ damage by organ systems in patients with sepsis. Objective: To determine the prevalence of organic damage in patients with sepsis in the Intensive Care Unit of the Teodoro Maldonado Carbo Hospital. Design: An observational, descriptive, retrospective, and cross-sectional cohort study, where the medical records of 173 patients diagnosed with sepsis admitted to the Intensive Care Unit of the Teodoro Maldonado Carbo Hospital from January 2017 to December 2019 were reviewed. describes the alterations of the organs according to the SOFA Score in patients with sepsis. Results: The sample used in this study included 173 patients, of which 94 (54.34%) were male and 79 (45.66%) females. Of all of them, 121 (69.94%) presented alterations in the neurological component. 71 (41.04%) patients had alterations in the cardiovascular component. The hematological, renal and hepatic components presented alterations in 68 (30.30%) patients, 97 (56.06%) patients and 76 (43.93%) patients respectively. The last component was the respiratory one, where 122 (70.52%) showed alterations of 1, 2, 3 and 4 points on the SOFA scale. Conclusions: The component of the SOFA Score with the greatest affectation was the respiratory one. This is because most patients admitted to the ICU require supplemental oxygen, which leads to an alteration in PaO2 / FiO2. 81.5% of the patients presented at least one comorbidity, which increases the risk of alteration in any device and of mortality.