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. 2019 Jan 8;8(1):61. doi: 10.3390/jcm8010061
First Author (Year) April MD (2016) [16]
Title Sepsis clinical criteria in emergency department patients admitted to an intensive care unit: An external validation study of quick sequential organ failure assessment
Journal The Journal of Emergency Medicine
Reviewer RL, KH, LL, MB, CG
Study sponsor No information given
Study type Retrospective cohort (August 2012–February 2015)
Location Texas, USA
Participants
  • Number

  • Male/Female

  • Median age (IQR)

  • Patient group


321 identified, 214 analyzed
58.9% male
72 (60–79)
ICU admission from ED with presumed sepsis; Patient with non-infectious etiology excluded
qSOFA criteria Respiratory rate > 22 breaths/min; Glasgow Coma Scale < 14;
Systolic blood pressure < 100 mm Hg
Primary outcome
Other outcomes
Prognostic accuracy of qSOFA and SIRS for predicting in-hospital mortality (AUROC, sensitivity, specificity, and likelihood ratio)
Assessment of the prognostic accuracy of LODS and SOFA criteria, using the same measures
Results 0.66 (95% CI 0.57–0.76) for qSOFA, 89.7% sensitivity, 27.4% specificity, 1.2 positive likelihood ratio, and 0.4 negative likelihood ratio