Evaluation MODS and SOFA postoperative score system for cardiac surgery Department of Cardiovascular Surgery

Objective:To compare sensitivity and specificity of MODS and SOFA score system in predicting prognosis after cardiac operation.Methods: A prospective study of 1935 consecutive patients entering in a single cardiac postoperative intensive care unit of Anzhen hospital was assigned between October,2007 and May,2008.MODS、SOFA score was calculated daily at least three days or until death,then compared the receiver operating characteristic(ROC) curve of the two system at different time.Results: ROC value of the first day after operation was(MODS 0.747,SOFA 0.736),ROC of the maximal score point(MODS 0.901,SOFA 0.891),ROC of the maximal score point during the first 3 days(MODS 0.892,SOFA 0.880),ROC of the change score point between the third day value and the first day value(MODS 0.786,SOFA 0.798).Conclusion: The MODS and SOFA score system were feasible to predict risk after cardiac operation,but the sensitivity and specificity of MODS score was better than SOFA score in prediction of mortality and morbidity after cardiac surgery.