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Comparison of SOFA qSOFA MEWS and SIRS four risk scores in evaluating the 28-day mortality of patients with suspected infection in EICU |
Ye Zhi-cheng, Li Min, Jiang Hui-lin,Li Yun-mei, Mo Jun-rong, Tian Chao-wei, Lin Pei-yi |
Department of Emergency, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China |
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Abstract Objective To analyze the predictive value of sepsis-related organ failure assessment (SOFA) score, quick sepsis-related organ failure assessment (qSOFA)score,modified early warning score(MEWS) and systemic inflammatory response syndrome (SIRS) score for the patients with suspected infection in Emergency Intensive Care Unit(EICU) of our hospital. Methods A perspective cohort study was conducted in EICU from February 2017 to March 2018. Clinical data and four scores were recorded. The 28-day mortality of patients was followed up through Health Insurance Information Management System and phone. Results A total of 163 patients with suspected infection in EICU were enrolled, 51 cases (31%) were died. The areas under the curve (AUC) for four scores were respectively: 0.782 (95%CI0.711-0.843), 0.704 (95%CI0.628-0.773), 0.640 (95%CI0.562-0.714), 0.516 (95%CI0.436-0.595). Conclusion SOFA score is the best to predict the prognosis of patients with suspected infection in EICU in 28 days.
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Corresponding Authors:
Lin Pei-yi, E-mail: linpeiyi@163.com
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