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

被引:30
作者
Huson, Michaela A. M. [1 ,2 ,3 ]
Katete, Chawezi [3 ]
Chunda, Lilian [3 ]
Ngoma, Jonathan [3 ]
Wallrauch, Claudia [3 ]
Heller, Tom [3 ,4 ]
van der Poll, Tom [1 ]
Grobusch, Martin P. [1 ,2 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Div Infect Dis, Ctr Expt & Mol Med, Meibergdreef 9,Room G2-105, NL-1105 AZ Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Div Infect Dis, Ctr Trop Med & Travel Med, Amsterdam, Netherlands
[3] Kamuzu Cent Hosp, Dept Med, Lilongwe, Malawi
[4] Kamuzu Cent Hosp, Lighthouse HIV Clin, Lilongwe, Malawi
关键词
Sepsis; qSOFA; Resource-limited setting; HIV; INTERNATIONAL CONSENSUS DEFINITIONS; SEPTIC SHOCK SEPSIS-3;
D O I
10.1007/s15010-017-1057-5
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
To determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection. Prospective observational study in a tertiary referral hospital in Malawi. 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. qSOFA is a simple tool that can aid risk stratification in resource-limited settings.
引用
收藏
页码:893 / 896
页数:4
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