Bodin Khwannimit1, Rungsun Bhurayanontachai2, Veerapong Vattanavanit2. 1. Division of Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110 Thailand. Electronic address: kbordin@medicine.psu.ac.th. 2. Division of Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110 Thailand.
Abstract
BACKGROUND: The purpose of this study was to compare the accuracy of the Modified Early Warning Score (MEWS), National Early Warning Score (NEWS) and Search Out Severity (SOS), with the quick Sequential Organ Failure Assessment (qSOFA) and SOFA scores, to predict outcomes in sepsis patients. METHODS: A retrospective study was conducted in intensive care unit of university teaching hospital. RESULTS: A total of 1,589 sepsis patients were enrolled. The SOFA score had the best accuracy to predict hospital mortality, with an area under the receiver operating characteristic curve (AUC) of 0.880 followed by SOS (0.878), MEWS (0.858), qSOFA (0.847) and NEWS (0.833). The SOS score provided a similar performance with SOFA score in predicting mortality. CONCLUSION: The SOS presents nearly as good as the SOFA score, to predict mortality among sepsis patients admitted to the ICU. The early warning score is another, alternative tool to use for risk stratification and sepsis screening for ICU sepsis patients.
BACKGROUND: The purpose of this study was to compare the accuracy of the Modified Early Warning Score (MEWS), National Early Warning Score (NEWS) and Search Out Severity (SOS), with the quick Sequential Organ Failure Assessment (qSOFA) and SOFA scores, to predict outcomes in sepsispatients. METHODS: A retrospective study was conducted in intensive care unit of university teaching hospital. RESULTS: A total of 1,589 sepsispatients were enrolled. The SOFA score had the best accuracy to predict hospital mortality, with an area under the receiver operating characteristic curve (AUC) of 0.880 followed by SOS (0.878), MEWS (0.858), qSOFA (0.847) and NEWS (0.833). The SOS score provided a similar performance with SOFA score in predicting mortality. CONCLUSION: The SOS presents nearly as good as the SOFA score, to predict mortality among sepsispatients admitted to the ICU. The early warning score is another, alternative tool to use for risk stratification and sepsis screening for ICU sepsispatients.
Authors: Francisco Martín-Rodríguez; José L Martín-Conty; Ancor Sanz-García; Virginia Carbajosa Rodríguez; Guillermo Ortega Rabbione; Irene Cebrían Ruíz; José R Oliva Ramos; Enrique Castro Portillo; Begoña Polonio-López; Rodrigo Enríquez de Salamanca Gambarra; Marta Gómez-Escolar Pérez; Raúl López-Izquierdo Journal: J Pers Med Date: 2021-03-02