Lactate ≥2 mmol/L plus qSOFA improves utility over qSOFA alone in emergency department patients presenting with suspected sepsis

Autor:	Amith, Shetty, Stephen Pj, MacDonald, Julian M, Williams, John, van Bockxmeer, Bas, de Groot, Laura M, Esteve Cuevas, Annemieke, Ansems, Malcolm, Green, Kelly, Thompson, Harvey, Lander, Jaimi, Greenslade, Simon, Finfer, Jonathan, Iredell
Rok vydání:	2017
Předmět:	Adult Aged 80 and over Male Adolescent Organ Dysfunction Scores Multiple Organ Failure Australia Middle Aged Severity of Illness Index Cohort Studies ROC Curve Sepsis Humans Female Hospital Mortality Lactic Acid Emergency Service Hospital Aged Retrospective Studies
Zdroj:	Emergency medicine Australasia : EMA. 29(6)
ISSN:	1742-6723
Popis:	The Sepsis-3 task force recommends the use of the quick Sequential Organ Failure Assessment (qSOFA) score to identify risk for adverse outcomes in patients presenting with suspected infection. Lactate has been shown to predict adverse outcomes in patients with suspected infection. The aim of the study is to investigate the utility of a post hoc lactate threshold (≥2 mmol/L) added qSOFA score (LqSOFARetrospective cohort study was conducted on a merged dataset of suspected or proven sepsis patients presenting to ED across multiple sites in Australia and The Netherlands. Patients are identified as candidates for quality improvement initiatives or research studies at respective sites based on local screening procedures. Data-sharing was performed across sites of demographics, qSOFA, SOFA, lactate thresholds and outcome data for included patients. LqSOFAIn a merged dataset of 12 555 patients where a full qSOFA score and outcome data were available, LqSOFAThe lactate ≥2 mmol/L threshold-based LqSOFA
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::7b4c82832e0da8cb0c2a7e13d9c919e1 https://pubmed.ncbi.nlm.nih.gov/29178274 Zobrazit plný text záznamu Plný text