Prehospital quick sequential organ failure assessment score to predict in-hospital mortality among patients with trauma.
Am J Emerg Med
; 37(12): 2165-2170, 2019 12.
Article
en En
| MEDLINE
| ID: mdl-30878407
ABSTRACT
OBJECTIVE:
The quick sequential organ failure assessment (qSOFA) score is calculated from three variables measured at the scene of trauma-systolic blood pressure, respiratory rate and consciousness. This study aimed to evaluate the discriminative ability of the prehospital qSOFA score for in-hospital mortality in patients with trauma.METHODS:
This retrospective multicenter study used data from 42,722 patients with trauma included in a Japanese nationwide trauma registry. All included patients were aged ≥18â¯years old and transferred to hospitals from the scenes of injury. The primary outcome was in-hospital mortality.RESULTS:
The included patients had a mean age of 59.4⯱â¯21.5â¯years and a male predominance (63%). In-hospital mortality occurred in 2612 patients (6%), while 2-day mortality occurred in 1189 of 42,339 patients (3%). When patients were stratified by qSOFA scores, in-hospital mortality rates of 0.9% (105/11783), 5% (941/17839), 12% (1280/11132) and 15% (286/1968) were associated with qSOFA scores of 0, 1, 2 and 3, respectively (Pâ¯<â¯0.0001 for trend). The area under the receiver operating characteristics curve of the qSOFA score for in-hospital mortality was 0.70 (95% confidence interval 0.69-0.71). A qSOFA score cutoff value ≥1 yielded a sensitivity and specificity of 0.96 and 0.29, respectively, overall, and a sensitivity of 0.99 in patients younger than 65â¯years.CONCLUSIONS:
The prehospital qSOFA score was strongly associated with in-hospital mortality in patients with trauma. A prehospital qSOFA score cutoff of ≥1 can be used to identify patients at a very low risk of death, especially in younger age groups.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Heridas no Penetrantes
/
Heridas Penetrantes
/
Triaje
/
Mortalidad Hospitalaria
/
Puntuaciones en la Disfunción de Órganos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
País/Región como asunto:
Asia
Idioma:
En
Revista:
Am J Emerg Med
Año:
2019
Tipo del documento:
Article