Using qSOFA and SIRS scores in predicting the outcomes of patients with sepsis in Emergency Department of Menoufia University Hospitals

Author:

Lasheen Athar Fekry1,Rageh Tarek Mohey2,Al-Abassy Mahmoud Magdy2,Selima Ahmed Ragab Abdo1

Affiliation:

1. Emergency Medicine Department

2. General Surgery Department, Faculty of Medicine, Menoufia University, Egypt

Abstract

Background Sepsis is a life-threatening illness in which an infection causes widespread inflammation and organ failure. Quick Sequential Organ Failure Assessment (qSOFA) is a screening tool, which was established by the sepsis-3 task force and depends on respiration rate, systolic blood pressure and altered mental state. The SIRS criteria were too nonspecific to accurately identify cases of systemic inflammation brought on by infection. Objective To determine the predictive performance of qSOFA, and SIRS scores for adverse outcomes of patients presenting to the Emergency Department of Menoufia University Hospitals with suspected infection. Patients and methods This comparative research was performed in the Emergency Department of Menoufia University Hospital. The study was conducted to 60 patients presented to the resuscitation room of the Emergency Department with infection from April 2022 to November 2022. Results There was a statistically significant difference among the examined groups concerning Relation between survival and vital data. There was no statistically significant difference among the examined groups concerning Demographic data (age, sex), comorbidities of the studied patients, Source of infections, cause of sepsis and Outcomes of the studied patients (n=60). Conclusion When it came to identifying cases of sepsis, the qSOFA score was both sensitive and predictive. The qSOFA score was very useful in predicting mortality from both the ER and later on in the hospital.

Publisher

Medknow

Subject

Ocean Engineering

Reference14 articles.

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3. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016;Rhodes;Intensive Care Med,2017

4. Systemic inflammatory response syndrome criteria for severe sepsis;Kaukonen;N Engl J Med,2015

5. Who needs a blood culture? A prospectively derived and validated prediction rule;Shapiro;J Emerg Med,2008

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