지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.8
- 수록면
- 247 - 255 (9page)
이용수
초록· 키워드
오류제보하기
Background: We evaluated the clinical usefulness of the quick Sepsis-Related Organ Failure Assessment (qSOFA) score (based on the 2016 definition of sepsis) at intensive care unit admission in Korean patients with bacteremia.
Methods: We retrospectively analyzed clinical data from 236 patients between March 2011 and February 2016. In addition to the qSOFA, the Modified Early Warning score (MEWS) and systemic inflammatory response syndrome (SIRS) criteria were calculated.
Results: The patients’ median age was 69 years, and 61.0% were male. Of the patients, 127 (53.8%) had a qSOFA score ≥2 points. They had significantly higher rates of septic shock, thrombocytopenia, and hyperlactatemia, and increased requirements for ventilator care, neuromuscular blocking agents, vasopressors, and hemodialysis within 72 hours after intensive care unit admission. They also had a significantly higher 28-day mortality rate. When analyzed using common thresholds (MEWS ≥5 and ≥2 SIRS criteria), patients with a MEWS ≥5 had the same results as those with a qSOFA score ≥2 (P < 0.05). However, patients with ≥2 SIRS criteria showed no significant differences.
Conclusions: Our results show that a qSOFA score ≥2 at admission is a useful screening tool for predicting disease severity and medical resource usage within 72 hours after admission, and for predicting 28-day mortality rates in patients with bacteremia. In addition, qSOFA scores may be more useful than SIRS criteria in terms of prognostic utility.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Fleischmann C / 2016 / Assessment of global incidence and mortality of hospital-treated sepsis: current estimates and limitations / Am J Respir Crit Care Med 193:259~272
Singer M / 2016 / The third international consensus definitions for sepsis and septic shock (sepsis-3) / JAMA 315:801~810
Bone RC / 1992 / Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis: the ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine / Chest 101:1644~1655
Levy MM / 2015 / Surviving Sepsis Campaign:association between performance metrics and outcomes in a 7.5-year study / Crit Care Med 43:3~12
Rhodes A / 2015 / The Surviving Sepsis Campaign bundles and outcome: results from the International Multicentre Prevalence study on Sepsis (the IMPreSS study) / Intensive Care Med 41:1620~1628
Singer M / 2016 / The third international consensus definitions for sepsis and septic shock (sepsis-3) / JAMA 315:801~810
Bone RC / 1992 / Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis: the ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine / Chest 101:1644~1655
Levy MM / 2015 / Surviving Sepsis Campaign:association between performance metrics and outcomes in a 7.5-year study / Crit Care Med 43:3~12
Rhodes A / 2015 / The Surviving Sepsis Campaign bundles and outcome: results from the International Multicentre Prevalence study on Sepsis (the IMPreSS study) / Intensive Care Med 41:1620~1628
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Quick Sepsis-related Organ Failure Assessment score is not sensitive enough to predict 28-day mortality in emergency department patients with sepsis: a retrospective review
Clinical and Experimental Emergency Medicine
2019 .01
-
Quick Sequential (Sepsis Related) Organ Failure Assessment: A high performance rapid prognostication tool in patients having acute pyelonephritis with upper urinary tract calculi
Investigative and Clinical Urology
2019 .01
-
Validation of quick sequential organ failure assessment score for poor outcome prediction among emergency department patients with suspected infection
Clinical and Experimental Emergency Medicine
2019 .01
-
Using Statistical and Machine Learning Methods to Evaluate the Prognostic Accuracy of SIRS and qSOFA
Healthcare Informatics Research
2018 .01
-
Quick Sequential Organ Failure Assessment Score and the Modified Early Warning Score for Predicting Clinical Deterioration in General Ward Patients Regardless of Suspected Infection
Journal of Korean Medical Science
2022 .04
-
Combination of qSOFA Score with Hyperlactatemia Improves Mortality Prediction in Surgical Patients
대한외과학회 학술대회 초록집
2017 .11
-
Application of Sepsis-3 Criteria to Korean Patients with Critical Illnesses
Acute and Critical Care
2019 .01
-
Dynamic analysis of acute deterioration in chronic liver disease patients using modified quick sequential organ failure assessment
Clinical and Molecular Hepatology
2024 .07
-
Correction: Using Statistical and Machine Learning Methods to Evaluate the Prognostic Accuracy of SIRS and qSOFA
Healthcare Informatics Research
2018 .01
-
Clinical Use of Procalcitonin in the Diagnosis of Sepsis: Evaluation of PCT?Qsofa
Laboratory Medicine Online
2021 .01
-
Efficacy of quick Sequential Organ Failure Assessment with lactate concentration for predicting mortality in patients with community-acquired pneumonia in the emergency department
Clinical and Experimental Emergency Medicine
2019 .01
-
Sequential Organ Failure Assessment score as a predictor of mortality in ventilated patients with multidrug-resistant bacteremia
Acute and Critical Care
2020 .01
-
The Clinical Impact of Modified Early Warning Score (MEWS) on In-Hospital Mortality in Critically-ill Patients Re-Admitted to the Surgical Intensive Care Unit
대한외과학회 학술대회 초록집
2023 .05
-
Early Intravenous Colistin Therapy as a Favorable Prognostic Factor for 28-day Mortality in Patients with CRAB Bacteremia: a Multicenter Propensity Score-Matching Analysis
Journal of Korean Medical Science
2019 .01
-
Reappraisal of sepsis-3 and CLIF-SOFA as predictors of mortality in patients with cirrhosis and infection presenting to the emergency department: A multicenter study
Clinical and Molecular Hepatology
2022 .07
-
Diabesity Associates with Poor COVID-19 Outcomes among Hospitalized Patients
Journal of Obesity & Metabolic Syndrome
2021 .01
-
A comparison of scoring systems for predicting mortality and sepsis in the emergency department patients with a suspected infection
Clinical and Experimental Emergency Medicine
2021 .12
-
Characteristics and Outcomes of Potentially Inappropriate Admissions to the Intensive Care Unit
Acute and Critical Care
2019 .01
-
Prior Lifestyle and Survival Outcomes After Intensive Care Unit Admission
Journal of Korean Medical Science
2023 .04
-
Mortality difference between early-identified sepsis and late-identified sepsis
Clinical and Experimental Emergency Medicine
2020 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0