Comparison of QSOFA Score and SIRS Criteria for the Prediction of Sepsis Outcome in Patients with a Suspected Bacterial Infection outside the Intensive Care Unit in the North of Iran

سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 212

فایل این مقاله در 9 صفحه با فرمت PDF قابل دریافت می باشد

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:

شناسه ملی سند علمی:

JR_IEM-7-3_006

تاریخ نمایه سازی: 11 مهر 1400

چکیده مقاله:

Backgrounds: The present study aimed to determine the quick Sepsis-related Organ Failure Assessment (qSOFA) score in comparison with systemic inflammatory response syndrome (SIRS) criteria to predict adverse consequences of a suspected bacterial infection in patients outside the intensive care unit (ICU). Materials & Methods: This retrospective study was conducted on patients during March ۲۰۱۸ to March ۲۰۱۹. All hospitalized patients with this suspected infection were positive for both SIRS and microbial cultures. Demographic and laboratory variables were recorded for all patients to determine the presence and time of various components of both SIRS criteria and the qSOFA score. Findings: Out of ۱۲۸ patients with suspected sepsis, ۸۷ (۶۸%) patients were confirmed to have septicemia based on SIRS criteria. SIRS criteria classified ۶۸% of patients in the sepsis group (۸۷ of ۱۲۸), of which ۳۹(۴۴.۸%) had a positive qSOFA score. The sensitivity and specificity ratios of qSOFA were ۴۴.۸۳ and ۸۰.۴۹%, respectively. Receiver operating characteristic (ROC) curve analysis results showed that the area under the ROC curve (AUC) of pSOFA scores for predicting sepsis patients was not significantly different. Moreover, regarding the sepsis-related mortality, the area under ROC showed that qSOFA criteria (score ≥ ۲) were able to predict mortality in patients with ۷۱% sensitivity and ۷۲% specificity. Conclusion: This study findings revealed that the qSOFA score was significantly efficient in predicting mortality. However, SIRS criteria were more sensitive than the qSOFA score in predicting the definitive diagnosis of sepsis. Therefore, the qSOFA score seems to be an invaluable tool for predicting outcome in sepsis patients.

کلیدواژه ها:

نویسندگان

Maryamsadat Mosavi

۱. Department of Health, Nutrition, and Infectious Diseases, school of medicine, Guilan University of Medical Sciences, Rasht, Iran. ۲. Soltanieh Clinic, Soltanieh, Zanjan, Iran.

Lida Mahfoozi

۱. Department of Health, Nutrition, and Infectious Diseases, school of medicine, Guilan University of Medical Sciences, Rasht, Iran. ۲. ۲Soltanieh Clinic, Soltanieh, Zanjan, Iran.

مراجع و منابع این مقاله:

لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :
  • Sakr Y, et al. Sepsis in Intensive Care Unit Patients: ...
  • Vincent JL, et al. Frequency and mortality of septic shock ...
  • SEDIGH ESH, et al. Bacterial etiology and antibacterial susceptibility patterns ...
  • Martín S, Pérez A, Aldecoa C. Sepsis and Immunosenescence in ...
  • Ghassabi F, et al. Bacterial etiology and antibiotic resistance pattern ...
  • Martins FS, et al. Suspected infection in afebrile patients: Are ...
  • Singer M, et al. The Third International Consensus Definitions for ...
  • Tian H, et al. Accuracy of qSOFA for the diagnosis ...
  • Sartelli M, et al. Raising concerns about the Sepsis-۳ definitions. ...
  • Seymour CW, et al. Assessment of Clinical Criteria for Sepsis: ...
  • Nakayama I, et al. Mortality and detailed characteristics of pre-ICU ...
  • Jiang J, et al. Head-to-head comparison of qSOFA and SIRS ...
  • Chakraborty RK, Burns B. Systemic Inflammatory Response Syndrome. StatPearls. Treasure ...
  • Cao C, Yu M, Chai Y. Pathological alteration and therapeutic ...
  • Andaluz D, Ferrer R. SIRS, qSOFA, and organ failure for ...
  • Serafim R, et al. A Comparison of the Quick-SOFA and ...
  • Askim Å, et al. Poor performance of quick-SOFA (qSOFA) score ...
  • Sinto R, et al. Prognostic accuracy of the quick Sequential ...
  • Shahsavarinia K, et al. qSOFA score for prediction of sepsis ...
  • Marik PE, Taeb AM. SIRS, qSOFA and new sepsis definition. ...
  • Williams JM, et al. Systemic Inflammatory Response Syndrome, Quick Sequential ...
  • Finkelsztein EJ, et al. Comparison of qSOFA and SIRS for ...
  • Churpek MM, et al. Quick Sepsis-related Organ Failure Assessment, Systemic ...
  • Haydar S, et al. Comparison of QSOFA score and SIRS ...
  • نمایش کامل مراجع