Jurnal Ilmu Kesehatan Indonesia (JIKSI)
Vol. 6 No. 3 (2025): September 2025

Peranan Skor SOFA dan Prokalsitonin dalam Memprediksi Luaran Mortalitas Sepsis di ICU: Sebuah Tinjauan Naratif

Catherina, Felicia (Unknown)
Syahrul, Muhammad Zulfadli (Unknown)
Rustam, Erlina (Unknown)



Article Info

Publish Date
29 Sep 2025

Abstract

Background: Sepsis is a dysregulated host response to infection that leads to life-threatening organ dysfunction. SOFA score is used to assess the degree of organ dysfunction and is currently used in the latest sepsis definition. PCT is a biomarker which increases in inflammation and sepsis. Objective: to analyze the role of SOFA score and procalcitonin in predicting sepsis mortality outcome in ICU. Methods: Literature review discusses primary literature searched through PubMed and ScienceDirect databases, selected based on predetermined inclusion and exclusion criteria. Results: A total of 15 articles were included in this review. In studies evaluated a single SOFA score were found that the mean/median SOFA score in non-survivors were significantly higher than in survivors. In studies evaluated SOFA score data serially also showed the ability of SOFA score to predict mortality outcomes. One-time PCT measurements were performed in 93% studies in this review. The results obtained were that the mean/median initial PCT levels measured at admission or after sepsis diagnosis in non-survivors were higher than in survivors in 13 studies, but statistically significant differences were only found in 5 studies. Serial PCT measurements were only measured in 1 study, it found changes in PCT values on ICU admission and fifth day are significantly related to mortality. Conclusion: SOFA score is a good parameter for predicting sepsis mortality outcome in ICU, and in general, one-time PCT measurements do not play a significant role in predicting sepsis mortality outcome in ICU.

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Journal Info

Abbrev

jikesi

Publisher

Subject

Immunology & microbiology Medicine & Pharmacology Public Health

Description

Jurnal Ilmu Kesehatan Indonesia is a peer-reviewed and open-access journal that focuses on promoting health sciences to integrate research in all aspects of human health. This journal publishes original articles, reviews, and case reports. Subjects suitable for publication include but are not ...