First Author (Year) | Hwang SY (2018) [36] |
Title | Low Accuracy of Positive qSOFA Criteria for Predicting 28-Day Mortality in Critically Ill Septic Patients During the Early Period After Emergency Department Presentation. |
Journal | Annals of Emergency Medicine |
Reviewer | RL, CG, KH |
Study sponsor | Nil |
Study type | Retrospective cohort study (August 08–September 14) |
Location | Seoul, S Korea |
Participants
|
1395 56% male 65 (55–73) Patients aged 18 years or older and who received a diagnosis of severe sepsis or septic shock (defined by SIRS) during their ED stay were included in analysis |
qSOFA criteria | Systolic blood pressure of less than or equal to 100 mmHg, respiratory rate greater than or equal to 22 breaths/min, and altered mentation (GCS < 15 or <Alert on AVPU) |
Primary outcome Other outcomes |
28-day mortality In-hospital mortality, use of a vasopressor within 24 h after ED presentation, presence of cryptic shock, increase in a SOFA score of 2 points or more from the baseline, ICU admission, and mechanical ventilation |
Results | 28-day mortality AUC 0.58 (95% CI 0.55 to 0.62) on ED arrival for qSOFA ≥2 |
Note | Neutropenic patients included |