The sensitivity of qSOFA calculated at triage and during emergency department treatment to rapidly identify sepsis patients. (Record no. 5992)

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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/31/2020   33230117 33230117 12/31/2020 12/31/2020 Journal Article

Powered by Koha