Survey of Glasgow Coma Scale and PaO2/FIO2 ratio assessment methods for the Sequential Organ Failure Assessment score in Japanese intensive care units

Mitsuhiro Tamoto; Takumi Imai; Rei Aida; Yusuke Harada; Yuki Wakabayashi; Gaku Satone; Shunsuke Ichoda; Takeshi Unoki; Ayumi Shintani

doi:10.1002/ams2.785

Tamoto, Mitsuhiro; Imai, Takumi; Aida, Rei; Harada, Yusuke; Wakabayashi, Yuki; Satone, Gaku; Ichoda, Shunsuke; Unoki, Takeshi; Shintani, Ayumi

2022-01-01 00:00:00

INTRODUCTIONAccurate calculation of the Sequential Organ Failure Assessment (SOFA) score is essential in medical resource allocation and decision‐making.1 In Japan, the SOFA score calculation is a requirement to be reimbursed for medical service fees in intensive care.2 Intensive care units (ICUs) participating in the Japanese Intensive care Patient Database (JIPAD) need to calculate SOFA score.3Some components of the SOFA score, such as the Glasgow Coma Scale (GCS) and PaO2/FIO2 (P/F) ratio, are difficult to assess in some clinical situations. For example, Vincent et al. recommend that the GCS be assessed assuming that sedatives have no effect in patients under the influence of sedatives (assumed GCS).4,5 JIPAD also requires assessment of assumed GCS3; however, GCS is often unknown in emergency admissions. It has also been reported that many hospitals evaluate GCS based on the actual condition of the patient, in which GCS is assessed as the lowest value (actual GCS) when the patient is deeply sedated.6 In this situation, there can be up to a 4‐point difference between assumed GCS and actual GCS in the SOFA score, which has a total score of 24 points. A previous study reported that the most common errors in evaluating GCS in the context of

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Acute Medicine & Surgery Wiley

http://www.deepdyve.com/lp/wiley/survey-of-glasgow-coma-scale-and-pao2-fio2-ratio-assessment-methods-zeMljF1LhM

Survey of Glasgow Coma Scale and PaO2/FIO2 ratio assessment methods for the Sequential Organ Failure Assessment score in Japanese intensive care units

Tamoto, Mitsuhiro; Imai, Takumi; Aida, Rei; Harada, Yusuke; Wakabayashi, Yuki;

Acute Medicine & Surgery , Volume 9 (1) – Jan 1, 2022

Abstract

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Survey of Glasgow Coma Scale and PaO2/FIO2 ratio assessment methods for the Sequential Organ Failure Assessment score in Japanese intensive care units

Survey of Glasgow Coma Scale and PaO2/FIO2 ratio assessment methods for the Sequential Organ Failure Assessment score in Japanese intensive care units