Randeep S Jawa1, James A Vosswinkel2, Jane E McCormack3, Emily C Huang4, Henry C Thode5, Marc J Shapiro6, Adam J Singer7. 1. Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: randeep.jawa@stonybrookmedicine.edu. 2. Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: james.vosswinkel@stonybrookmedcine.edu. 3. Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: jane.e.mccormack@stonybrookmedcine.edu. 4. Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: chunbo.huang@stonybrookmedcine.edu. 5. Department of Emergency Medicine, Stony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: henry.thode@stonybrookmedicine.edu. 6. Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: marc.shapiro@stonybrookmedicine.edu. 7. Department of Emergency Medicine, Stony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: adam.singer@stonybrookmedicine.edu.
Abstract
BACKGROUND: A number or risk assessment tools are used in trauma victims. Because of its simplicity, we examined the ability of the recently described quick Sequential Organ Failure Assessment Score (qSOFA) to predict outcomes in blunt trauma patients presenting to the Emergency Department. METHODS: We queried the trauma registry at a Level 1 Trauma Center for all adult blunt trauma admissions between 1/1/10 and 9/30/15. qSOFA scores were the sum of binary scores for 3 variables (RR ≥ 22, SBP≤100 mmHg, and GCS≤13). RESULTS: There were 7064 admissions (5664 admissions had qSOFA = 0, 1164 had qSOFA = 1, 223 had qSOFA = 2, and 13 had qSOFA = 3). Higher qSOFA scores were associated with greater injury severity, increased ICU admission, and higher complication rates. qSOFA scores were associated with in-hospital mortality (1.7% with qSOFA = 0; 8.7% with qSOFA = 1; 22.4% with qSOFA = 2; 23.1% with qSOFA = 3; p < 0.001). On multivariate analysis, qSOFA score was an independent predictor of mortality. CONCLUSIONS: qSOFA scores are directly associated with adverse outcomes in blunt trauma victims.
BACKGROUND: A number or risk assessment tools are used in trauma victims. Because of its simplicity, we examined the ability of the recently described quick Sequential Organ Failure Assessment Score (qSOFA) to predict outcomes in blunt traumapatients presenting to the Emergency Department. METHODS: We queried the trauma registry at a Level 1 Trauma Center for all adult blunt trauma admissions between 1/1/10 and 9/30/15. qSOFA scores were the sum of binary scores for 3 variables (RR ≥ 22, SBP≤100 mmHg, and GCS≤13). RESULTS: There were 7064 admissions (5664 admissions had qSOFA = 0, 1164 had qSOFA = 1, 223 had qSOFA = 2, and 13 had qSOFA = 3). Higher qSOFA scores were associated with greater injury severity, increased ICU admission, and higher complication rates. qSOFA scores were associated with in-hospital mortality (1.7% with qSOFA = 0; 8.7% with qSOFA = 1; 22.4% with qSOFA = 2; 23.1% with qSOFA = 3; p < 0.001). On multivariate analysis, qSOFA score was an independent predictor of mortality. CONCLUSIONS: qSOFA scores are directly associated with adverse outcomes in blunt trauma victims.
Authors: Vladimir Bagin; Evgenii Tarasov; Maria Astafyeva; Evgenii Nishnevich; Vladimir Rudnov; Mikhail Prudkov Journal: Int J Emerg Med Date: 2019-03-25