Quick Sepsis-related Organ Failure Assessment predicts 72-h mortality in patients with suspected infection. (October 2019)

• Record Type: Journal Article
• Authors: Chen, Fu-Cheng; Kung, Chia-Te; Cheng, Hsien-Hung; Cheng, Chi-Yung; Tsai, Tsung-Cheng; Hsiao, Sheng-Yuan; Su, Chih-Min
• Is Part Of: European journal of emergency medicine. Volume 26:Number 5(2019)
• Publication Date: 2019-10
• Subjects: infection -- mortality -- Quick Sepsis-related Organ Failure Assessment -- sepsis; Emergency medicine -- Europe -- Periodicals; Medical emergencies -- Europe -- Periodicals; Emergency medical services -- Europe -- Periodicals; Emergencies -- Europe -- Periodicals; Emergency Medical Services -- Europe -- Periodicals; Emergency Medicine -- Europe -- periodicals; 616.025
• DOI: 10.1097/MEJ.0000000000000563
• Languages: English
• ISSNs: 0969-9546

Abstract

Abstract : Objective: The aim of this study was to compare quick Sepsis-related Organ Failure Assessment (qSOFA) and Systemic Inflammatory Response Syndrome (SIRS) scores for predicting mortality. Patients and methods: A single-center, retrospective study of adult patients with suspected infection was conducted. Area under the curve (AUC) and multivariate analyses were used to explore associations between the qSOFA and SIRS scores and mortality. Results: Of the 69 115 patients enrolled, 1798 died within 72 h and 5640 within 28 days. The qSOFA scores were better than SIRS scores at predicting 72-h mortality (AUC: 0.77 vs. 0.64). However, the discriminatory power of both scores was low in terms of 28-day mortality (AUC: 0.69 vs. 0.60). Patients with qSOFA score of at least 2 had a higher hazard ratio for 72-h mortality than for 28-day mortality (2.64 vs. 1.91). Conclusion: The qSOFA scores are more accurate than SIRS scores for predicting 72-h mortality and are better at predicting 72-h mortality than 28-day mortality.