EXPERIENCE OF USING SOFA SCALES FOR EVALUATING THE CONDITION OF PATIENTS WITH INFECTIOUS ENDOCARDITIS OF ARTIFICIAL HEART VALVES

Abstract

One of the main causes of death in patients with prosthetic infectious endocarditis is multiple organ dysfunction. This article studied the SOFA scale as a criterion for assessing the severity of the pathological process in patients with infectious endocarditis.Purpose. To assess the severity of multiple organ failure and the prognosis of death after surgery in patients with infectious prosthetic endocarditisMaterials and methods. We retrospectively analyzed case histories of all patients with prosthetic endocarditis, the integral indicator on the SOFA scale was calculated and the causes of death of patients in the period of up to 1 year after surgery were identified.Results. All patients with prosthetic endocarditis also had some organ dysfunction that was accompanied by a SOFA scale de-gree of 6,7±0,46. Patients, who died on the first day after their surgery, were observed to have maximum SOFA scores. This fact gives us the clear correlation with the efficiency of the SOFA scale implementation. The SOFA integrated scale helps to assess the severity of multiple organ failure and predict the outcome of surgical treatment for this category of cardiac surgery patients.