Prognostic utility of the qSOFA scale in patients admitted to an Internal Medicine service due to infectious diseases

Autor: Perez Catalan I, Roig Marti C, Cubides Montenegro A, Cardenal Alvarez A, Guerrero Jimenez F, Albiol Vinals P, Uso Blasco J
Rok vydání: 2021
Zdroj: Revista Chilena de Infectologia
r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
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ISSN: 0716-1018
Popis: Background: Sepsis is a serious entity. Diagnosis and early treatment is important for the prognosis. Aim: To analyze the prognostic utility of the qSOFA scale as a predictor of mortality in patients admitted by infection in an Internal Medicine Service and describe its demographic characteristics and possible association with mortalilty. Methods: Descriptive and cross-sectional study of patients admitted with diagnosis of acute infection at the General Hospital of Castellon (Spain) from November 2017 to February 2018. Inclusion criteria: patients admitted on suspicion of an infectious process. Main dependent variable: mortality. Independent main variable: qSOFA scale. Secondary variables: time until the first medical evaluation and the start of empirical antibiotic therapy, demographic characteristics of the patient, analytics and evolutional. Results: A total of 311 patients were analyzed, 145 men with an average age of 78 (DE 16,23). Seventy five presented qSOFA >= 2. Higher mortality was observed in those patients with qSOFA >= 2 (36% vs 11%, p = 0.00). Conclusion: In patients admitted with infectious diseases, a qSOFA value > = 2 was associated with higher mortality. Future studies are required to verify its potential diagnostic utility.
Databáze: OpenAIRE