DOI: 10.36347/sjams.2018.v06i03.037

Pages: 994-997

The use of scoring systems to predict the risk mortality and evaluating outcome in critically ill patients is important in modern medicine. Scoring systems for use in intensive care units have been developed from past 30 years. SOFA is the most widely used organ failure model. Most of the variables included in these systems are easily available and obtained from the critical care settings. World elderly population is significantly increased over few decades as human life expectancy is improved. And this population is neglected in developing and under developed countries due to limited resource. Hence this study is conducted only on elderly population; the study was prospectively carried out over 12 months at the 24 bedded multidisciplinary Medical ICU at Gandhi Medical College and allied Hamidia Hospital, Bhopal. Enrolled patients were divided into two group survivor and non-survivor. The SOFA score was calculated at the time of admission and 48 hours after admission which were then used as mortality predictors. The study concluded that SOFA score during the first 48 hours of ICU admission was a good indicator of prognosis. Independent of the initial score, an increase in SOFA score during the first 48 hours in the ICU predicted a mortality of at least 90%. The SOFA score demonstrated a fair to good accuracy for predicting in-hospital mortality when applied to elderly population.