Vasoactive Inotropic Score compared to the sequential organ failure assessment cardiovascular score in intensive care
Authors' conclusion
Mortality increased consistently with increasing VISmax . Replacing cvSOFA with VISmax improved the predictive accuracy of the SOFA score.
Study context
- Population
- Adult medical and non-cardiac emergency surgical patients admitted to Kuopio University Hospital intensive care unit (ICU), Finland, 2013–2019
- Participants
- 8,079 participants
- Exposure
- SOFAVISmax vs Original SOFA
- Outcome
- 30-day mortality (association with VIS during first 24 h after ICU admission; AUROC of SOFA scores)
- Follow-up
- 30 days
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
AUROC for 30-day mortality
| Group | AUC |
|---|---|
| Original SOFA | 0.813 (95% CI 0.800-0.825) |
| SOFAVISmax | 0.822 (95% CI 0.810-0.834) |
AUC
Original SOFA0.813 (95% CI 0.800-0.825)
SOFAVISmax0.822 (95% CI 0.810-0.834)
- SOFAVISmax vs Original SOFA: P < 0.001
Observational data: associations, not effects.
Further findings
30-day mortality (overall)
- Died within 30 days
- 1107 (13%)
Original publication
Vasoactive Inotropic Score compared to the sequential organ failure assessment cardiovascular score in intensive care. Acta Anaesthesiol Scand. Published 5 June 2023. doi:10.
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