Shahla Siddiqui1, Maureen Chua2, Venkatesan Kumaresh3, Robin Choo4. 1. Anaesthesia and Intensive Care, Khoo Teck Puat Hospital, Singapore. Electronic address: Siddiqui.shahla@alexandrahealth.com.sg. 2. MOhh, Singapore. 3. KTPH, Singapore. 4. Geriatric Education and Research Institute, Yishun Comm. Hospital, Singapore.
Abstract
INTRODUCTION: The 2015 sepsis definitions suggest using the quick SOFA score for risk stratification of sepsis patients among other changes in sepsis definition. Our aim was to validate the q sofa score for diagnosing sepsis and comparing it to traditional scores of pre ICU admission sepsis outcome prediction such as EWS and SIRS in our setting in order to predict mortality and length of stay. METHODS: This was a retrospective cohort study. We retrospectively calculated the q sofa, SIRS and EWS scores of all ICU patients admitted with the diagnosis of sepsis at our center in 2015. This was analysed using STATA 12. Logistic regression and ROC curves were used for analysis in addition to descriptive analysis. RESULTS: 58 patients were included in the study. Based on our one year results we have shown that although q SOFA is more sensitive in predicting LOS in ICU of sepsis patients, the EWS score is more sensitive and specific in predicting mortality in the ICU of such patients when compared to q SOFA and SIRS scores. CONCLUSION: In conclusion, we find that in our setting, EWS is better than SIRS and q SOFA for predicting mortality and perhaps length of stay as well. The q Sofa score remains validated for diagnosis of sepsis.
INTRODUCTION: The 2015 sepsis definitions suggest using the quick SOFA score for risk stratification of sepsispatients among other changes in sepsis definition. Our aim was to validate the q sofa score for diagnosing sepsis and comparing it to traditional scores of pre ICU admission sepsis outcome prediction such as EWS and SIRS in our setting in order to predict mortality and length of stay. METHODS: This was a retrospective cohort study. We retrospectively calculated the q sofa, SIRS and EWS scores of all ICU patients admitted with the diagnosis of sepsis at our center in 2015. This was analysed using STATA 12. Logistic regression and ROC curves were used for analysis in addition to descriptive analysis. RESULTS: 58 patients were included in the study. Based on our one year results we have shown that although q SOFA is more sensitive in predicting LOS in ICU of sepsispatients, the EWS score is more sensitive and specific in predicting mortality in the ICU of such patients when compared to q SOFA and SIRS scores. CONCLUSION: In conclusion, we find that in our setting, EWS is better than SIRS and q SOFA for predicting mortality and perhaps length of stay as well. The q Sofa score remains validated for diagnosis of sepsis.
Authors: Priya A Prasad; Margaret C Fang; Sandra P Martinez; Kathleen D Liu; Kirsten N Kangelaris Journal: J Hosp Med Date: 2021-08 Impact factor: 2.899
Authors: Raúl López-Izquierdo; Pablo Del Brio-Ibañez; Francisco Martín-Rodríguez; Alicia Mohedano-Moriano; Begoña Polonio-López; Clara Maestre-Miquel; Antonio Viñuela; Carlos Durantez-Fernández; Miguel Á Castro Villamor; José L Martín-Conty Journal: Int J Environ Res Public Health Date: 2020-11-12 Impact factor: 3.390