MARC details
000 -LEADER |
fixed length control field |
02744nam a22003497a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
201231s20202020 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
2045-2322 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1038/s41598-020-77438-8 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1038/s41598-020-77438-8 [pii] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
PMC7683594 [pmc] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
33230117 |
245 ## - TITLE STATEMENT |
Title |
The sensitivity of qSOFA calculated at triage and during emergency department treatment to rapidly identify sepsis patients. |
251 ## - Source |
Source |
Scientific Reports. 10(1):20395, 2020 11 23. |
252 ## - Abbreviated Source |
Abbreviated source |
Sci. rep.. 10(1):20395, 2020 11 23. |
253 ## - Journal Name |
Journal name |
Scientific reports |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
epublish |
266 ## - Date added to catalog |
Date added to catalog |
2020-12-31 |
520 ## - SUMMARY, ETC. |
Abstract |
The quick sequential organ failure assessment (qSOFA) score has been proposed as a means to rapidly identify adult patients with suspected infection, in pre-hospital, Emergency Department (ED), or general hospital ward locations, who are in a high-risk category with increased likelihood of "poor outcomes:" a greater than 10% chance of dying or an increased likelihood of spending 3 or more days in the ICU. This score is intended to replace the use of systemic inflammatory response syndrome (SIRS) criteria as a screening tool; however, its role in ED screening and identification has yet to be fully elucidated. In this retrospective observational study, we explored the performance of triage qSOFA (tqSOFA), maximum qSOFA, and first initial serum lactate (> 3 mmol/L) at predicting in-hospital mortality and compared these results to those for the initial SIRS criteria obtained in triage. A total of 2859 sepsis cases were included and the in-hospital mortality rate was 14.4%. The sensitivity of tqSOFA >= 2 and maximum qSOFA >= 2 to predict in-hospital mortality were 33% and 69%, respectively. For comparison, the triage SIRS criteria and the initial lactate > 3 mmol/L had sensitivities of 82% and 65%, respectively. These results demonstrate that in a large ED sepsis database the earliest measurement of end organ impairment, tqSOFA, performed poorly at identifying patients at increased risk of mortality and maximum qSOFA did not significantly outperform initial serum lactate levels. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Emergency Medicine |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Research Support, Non-U.S. Gov't |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Goyal, Munish |
790 ## - Authors |
All authors |
Agarwal AK, Bhardwaj A, Drumheller B, Gaieski DF, Ginde A, Goyal M, Mikkelsen ME, Perman SM, Sante SC |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1038/s41598-020-77438-8">https://dx.doi.org/10.1038/s41598-020-77438-8</a> |
Public note |
https://dx.doi.org/10.1038/s41598-020-77438-8 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |