Department of Anaesthesia and Critical Care Medicine, City Hospital, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Anaesthesia. 2009 Dec;64(12):1283-8. doi: 10.1111/j.1365-2044.2009.06135.x. Epub 2009 Oct 23.
Sequential Organ Failure Assessment (SOFA) score based triage of influenza A H1N1 critically ill patients has been proposed for surge capacity management as a guide for clinical decision making. We conducted a retrospective records review and SOFA scoring of critically ill patients with influenza A H1N1 in a mixed medical-surgical intensive care unit in an urban hospital. Eight critically ill patients with influenza A H1N1 were admitted to the intensive care unit. Their mean (range) age was 39 (26-52) years with a length of stay of 11 (3-17) days. All patients met SOFA score based triage admission criteria with a modal SOFA score of five. Five patients required invasive ventilation for a mean (range) of 5 (4-11) days. Five patients would have been considered for withdrawal of treatment using SOFA scoring guidelines at 48 h. All patients survived. We conclude that SOFA score based triage could lead to withdrawal of life support in critically ill patients who could survive with an acceptably low length of stay in the intensive care unit.
序贯器官衰竭评估（SOFA）评分对甲型 H1N1 流感危重症患者进行分类，以管理应急容量，为临床决策提供指导。我们对城市医院混合内科-外科重症监护病房的甲型 H1N1 流感危重症患者进行了回顾性病历回顾和 SOFA 评分。8 例甲型 H1N1 流感危重症患者入住重症监护病房。他们的平均（范围）年龄为 39（26-52）岁，住院时间为 11（3-17）天。所有患者均符合 SOFA 评分分类入院标准，中位 SOFA 评分为 5 分。5 例患者需要有创通气，平均（范围）5（4-11）天。5 例患者在 48 小时时根据 SOFA 评分指南被认为需要撤掉治疗。所有患者均存活。我们的结论是，SOFA 评分分类可能导致对可在重症监护病房接受治疗并接受可接受的较短住院时间的危重症患者撤掉生命支持。
