Quick Sepsis-related Organ Failure Assessment predicts 72-h mortality in patients with suspected infection

Eur J Emerg Med. 2019 Oct;26(5):323-328. doi: 10.1097/MEJ.0000000000000563.

Abstract

Objective: The aim of this study was to compare quick Sepsis-related Organ Failure Assessment (qSOFA) and Systemic Inflammatory Response Syndrome (SIRS) scores for predicting mortality.

Patients and methods: A single-center, retrospective study of adult patients with suspected infection was conducted. Area under the curve (AUC) and multivariate analyses were used to explore associations between the qSOFA and SIRS scores and mortality.

Results: Of the 69 115 patients enrolled, 1798 died within 72 h and 5640 within 28 days. The qSOFA scores were better than SIRS scores at predicting 72-h mortality (AUC: 0.77 vs. 0.64). However, the discriminatory power of both scores was low in terms of 28-day mortality (AUC: 0.69 vs. 0.60). Patients with qSOFA score of at least 2 had a higher hazard ratio for 72-h mortality than for 28-day mortality (2.64 vs. 1.91).

Conclusion: The qSOFA scores are more accurate than SIRS scores for predicting 72-h mortality and are better at predicting 72-h mortality than 28-day mortality.

Publication types

  • Comparative Study
  • Observational Study

MeSH terms

  • Academic Medical Centers
  • Adult
  • Aged
  • Aged, 80 and over
  • Area Under Curve
  • Cause of Death*
  • Cohort Studies
  • Emergency Service, Hospital / organization & administration
  • Female
  • Hospital Mortality*
  • Humans
  • Intensive Care Units / organization & administration
  • Male
  • Middle Aged
  • Multiple Organ Failure / diagnosis
  • Multiple Organ Failure / mortality
  • Organ Dysfunction Scores*
  • Predictive Value of Tests
  • ROC Curve
  • Retrospective Studies
  • Risk Assessment
  • Sepsis / diagnosis
  • Sepsis / mortality*
  • Systemic Inflammatory Response Syndrome / diagnosis
  • Systemic Inflammatory Response Syndrome / mortality*
  • Taiwan
  • Time Factors
  • Triage*