The aim of this study was to compare the discriminative power of commonly used scoring systems, namely the sequential organ failure assessment (SOFA) and acute physiology and chronic health evaluation II (APACHE II) in the intensive care unit of a tertiary care hospital.

This was a retrospective cross-sectional study including patients admitted to the ICU of TU Teaching Hospital with a neurological diagnosis from January 1, 2022, to December 31, 2022. This study uses data collected prospectively as part of the Nepal Intensive Care Research Foundation (NICRF) dataset. The ICU database contained information for all components of the APACHE II and SOFA score with physiological data collected for the length of ICU, and hospital stay. Both SOFA and APACHE II were calculated from the admission data or if not available from the earliest data recorded after admission in ICUs.

Inclusion Criteria:

• Patients admitted with neurological diagnosis in ICUs

Exclusion Criteria:

• Patients with missing data
• Patients with ICU length of stay < 24 h

All the patients admitted in ICUs with neurological diagnosis from January 1, 2022 to December 31, 2022

Individual particant data was taken from ICU database with deidentified data after taking permission