Application of the qSOFA score to predict mortality in patients with suspected infection in a resource-limited setting in Malawi

PURPOSE: To determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection. METHODS: Prospective observational study in a tertiary referral hospital in Malawi. RESULTS: Predictive ability of qSOFA was reasonable [AUROC 0.73 (95% CI 0...

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Detalles Bibliográficos
Autores principales: Huson, Michaëla A. M., Katete, Chawezi, Chunda, Lilian, Ngoma, Jonathan, Wallrauch, Claudia, Heller, Tom, van der Poll, Tom, Grobusch, Martin P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696439/
https://www.ncbi.nlm.nih.gov/pubmed/28786004
http://dx.doi.org/10.1007/s15010-017-1057-5
Descripción
Sumario:PURPOSE: To determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection. METHODS: Prospective observational study in a tertiary referral hospital in Malawi. RESULTS: Predictive ability of qSOFA was reasonable [AUROC 0.73 (95% CI 0.68–0.78)], increasing to 0.77 (95% CI 0.72–0.82) when classifying all patients with altered mental status as high risk. Adding HIV status as a variable to the qSOFA score did not improve predictive value. CONCLUSION: qSOFA is a simple tool that can aid risk stratification in resource-limited settings. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s15010-017-1057-5) contains supplementary material, which is available to authorized users.

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