Hubungan Skor Sequential (Sepsis-Related) Organ Failure Assessment pada Awal Masuk Rawat terhadap Mortalitas Pasien Sepsis di Ruang Rawat Intensif RSUP Haji Adam Malik Medan

Abstract

Background. Sepsis is a life-threatening organ dysfunction or failure and is the main cause of death in infectious diseases. The Sepsis-3 Task Force recommends the use of the Sequential (Sepsis-Related) Organ Failure Assessment (SOFA) score to identify sepsis. Aim. To determine the relationship between initial SOFA score and the mortality of sepsis patients in the intensive care unit (ICU) at Haji Adam Malik General Hospital, Medan. Method. This research is an observational analytical study with a cross-sectional study design. The sample for this study was sepsis patients who were treated in the ICU at Haji Adam Malik Hospital, Medan in 2021-2022 and were selected using the purposive sampling method. After calculating using the Slovin formula, 61 samples are required. The data used is obtained from patient medical records. The analysis used is univariate and bivariate analysis with Fisher’s Exact. Results. Of the 71 patients, there were 36 patients (50.7%) in the age group 46-65 years, 39 patients (54.9%) male, 50 patients (70.4%) with comorbidities, and 50 patients (70.4%) with cases of non-surgical disease. The average patient SOFA score was 9.89 ± 3.95, with mortality for sepsis patients in the ICU of 74.6%. Statistical analysis results showed a significant difference between the SOFA scores of patients who lived and those who died (p < 0.001), and there was a relationship between initial SOFA score and mortality (p < 0.001). Conclusion. There is a relationship between initial SOFA score and the mortality of sepsis patients in the ICU.