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| Predictive Value of Quick Sequential Organ Failure Assessment in Prognosis of Patients with ICU Infection |
| DING Guo-yu, GE Lan |
| Taizhou People's Hospital, Jiangsu Province, 225300 |
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Abstract 【Objective】The predictive value of quick sequential organ failure assessment (qSOFA) in the prognosis of patients with ICU infection. 【Methods】The clinical data of 80 infected patients admitted to ICU of our hospital were retrospectively analyzed. The qSOFA, rapid emergency departmental (REMS) score and sequential organ failure assessment score (SOFA) were calculated. The prognosis of infected patients was recorded. The receiver operating characteristic curve (ROC) was used to analyze the predictive value of the three scoring methods for the prognosis of infected patients. 【Results】A total of 29 deaths that occurred within 28 days among 80 ICU admissions showed the mortality rate was 36.2% and the survival rate was 63.8% (51/80). As the scores of SOFA, qSOFA, and REMS increase, the patient mortality rate increased. The scores of SOFA, qSOFA and REMS in the death group were higher than those in the survival group,the different was statistically significant (P<0.05). The ROC curve showed that among the three scores, the SOFA score predicted the highest AUC (0.741) of the mortality rate, followed by the REMS and qSOFA scores. However, there were no significant differences in AUC among the three scores (P>0.05). The optimal cutoff value for the qSOFA score was 2 points, which the sensitivity was 69.4%, the specificity was 68.5%, and the AUC was 0.710. The death risk in the qSOFA ≥ 2 group was significantly higher than that in the qSOFA < 2 group (P<0.05). 【Conclusion】SOFA, qSOFA and REMS scores can predict the mortality of patients with ICU infection. We find that qSOFA is a simple and fast scoring system, which can quickly and effectively judge the severity and death of patients with ICU infection.
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Received: 10 June 2019
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2019, Vol. 36 
