Skip to main content
. 2019 Jan 8;8(1):61. doi: 10.3390/jcm8010061
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
  • Number

  • Male/Female

  • Median age

  • Patient group


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