Abstract
Background
We examined the effectiveness of sequential organ failure assessment (SOFA) score to describe patients with strangulation ileus.
Methods
The subjects consisted of 66 patients given a diagnosis of ileus who underwent a surgery during the period from January 2001 to December 2006. On the basis of surgical findings, they were classified into two groups; the strangulation group, consisting of 25 patients, and the control group, consisting of 41 patients with simple ileus. The background factors, SOFA score, blood test findings before treatment, and vital signs were compared between these two groups in a retrospective study.
Results
Statistically significant differences between the two groups were observed by univariate analysis in the SOFA score, white blood cell count, CRP, CPK, PaCO2, BE, and pulse rate. The SOFA score, white blood cell count, and pulse rate were significant independent factors in the multivariate analysis.
Conclusions
These results showed that it may be helpful to use SOFA score in combination with further diagnostic tools, while the experience of clinicians will be still required for diagnosis of strangulation ileus.
Similar content being viewed by others
References
Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H et al (1996) The SOFA (sepsis-related organ failure assessment) score to describe organ dysfunction/failure. Intensive Care Med 22:707–710 doi:10.1007/BF01709751
Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM et al (1998) Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study. Working group on “sepsis-related problems” of the European Society of Intensive Care Medicine. Crit Care Med 26:1793–1800
Grusel G, Demirtas S (2006) Value of APACHE II, SOFA and CPIS scores in predicting prognosis in patients with ventilator-associated pneumonia. Respiration 73:503–508 doi:10.1159/000088708
Sakorafas GH, Poggio JL, Dervenis C, Sarr MG (2002) Small bowel obstruction. In: Shackelford’s surgery of the alimentary tract, 5th edn. W.B. Saunders, Philadelphia, pp 317–341
Miyauchi T, Kuroda T, Nisioka M, Hashimoto T, Kasamatsu T, Kuratate S et al (2001) Clinical study of strangulation obstruction of small bowel. J Med Invest 48:66–72
Kumar V, Cotran RS, Robbins SL (1997) Basic pathology, 6thth edn. W.B. Saunders, Philadelphia, pp 45–47
Yamagishi S, Yamaguchi S, Kimura H, Fujii S, Moriwaki Y, Mochizuki H et al (2003) Early Diagnosis of the Strangulated Obstruction (in Japanese with English abstract). Jpn J Gastroenterol Surg 36:11–17
Saito H, Kishimoto K, Harada H, Yoshitani S, Jintan T, Tomita F (1998) A clinical study on the strangulating bowel obstruction. J Abdom Emerg Med 18:525–531 in Japanese
Balthazar EJ, Liebeskind ME, Macari M (1997) Intestinal ischemia in patient in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology 205:519–522
Frager D (2002) Intestinal obstruction role of CT. Gastroenterol Clin North Am 31:777–799 doi:10.1016/S0889-8553(02)00026-2
Acknowledgements
The authors are indebted to Professor J. Patrick Barron of the International Medical Communications Center of Tokyo Medical University for his review of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sumi, T., Katsumata, K., Tsuchida, A. et al. Evaluation of sequential organ failure assessment score for patients with strangulation ileus. Langenbecks Arch Surg 395, 27–31 (2010). https://doi.org/10.1007/s00423-008-0396-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00423-008-0396-1