Organ support & nutrition

Facial appearance associates with longitudinal multi-organ failure: an Intensive Care Unit (ICU) cohort study

Crit CarePublished Prospective observational cohort study

Main finding · SOFA score by extent of eye-openingResult — go to the resultDifference in SOFA score 0.7 points per step 95% CI 0.5–0.9

Authors' conclusion

The scoring of patients' facial cues, primarily the extent of eye-opening and facial colour, provided valuable insights into the disease state and progression of the disease of critically ill patients.

Study context

Population
Adults acutely admitted to the ICU, March 26–July 10, 2019
Participants
228 participants
Exposure
Facial appearance at ICU admission vs longitudinal Sequential Organ Failure Assessment (SOFA) scores
Outcome
Longitudinal SOFA scores, measured daily
Follow-up
First seven days after ICU admission
Methodological detailssub-study of the Simple Intensive Care Studies-II, generalized estimation equations
  • Sub-study of the Simple Intensive Care Studies-II
  • Generalized estimation equations

Main finding

SOFA score by extent of eye-opening · admission and follow-up

Difference in SOFA score

0.7 points per step

95% CI 0.5–0.9

As reported in the abstract

Observational data: associations, not effects.

Further findings

Half-open or closed eyes with flushed skin had a lower SOFA score than pale or normal skin colour
  • P-interaction < 0.1

Original publication

Facial appearance associates with longitudinal multi-organ failure: an ICU cohort study. Crit Care. Published 2 April 2024. doi:10.1186/s13054-024-04891-6

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