Quick-SOFA scoreâ¯≥â¯2 predicts prolonged hospital stay in geriatric patients with influenza infection.
Am J Emerg Med
; 38(4): 780-784, 2020 04.
Article
em En
| MEDLINE
| ID: mdl-31272756
ABSTRACT
PURPOSE:
The quick Sepsis-Related Organ Failure Assessment (qSOFA) score was designed to predict mortality among sepsis patients. However, it has never been used to identify prolonged length of hospital stay (pLOS) in geriatric patients with influenza infection. We conducted this study to clarify this issue.METHODS:
We conducted a retrospective case-control study, including geriatric patients (agedâ¯≥â¯65â¯years) with influenza infection visiting the emergency department (ED) of a medical center between January 01, 2010 and December 31, 2015. The included patients were divided into two groups on the basis of their qSOFA score qSOFAâ¯<â¯2, and qSOFAâ¯≥â¯2. Data regarding demographics, vital signs, qSOFA score, underlying diseases, subtypes of influenza, and outcomes were included in the analysis. We investigated the association between qSOFA scoreâ¯≥â¯2 and pLOS (>9â¯days) via logistic regression.RESULTS:
Four hundred and nine geriatric patients were included in this study with a mean age of 79.5 (standard deviation [SD], 8.3) years. The median length of stay (LOS) was 7.0 (interquartile range [IQR], 4-12) days, while the rate of pLOS (> 9â¯days) was 32%. The median LOS in the qSOFAâ¯≥â¯2 group, 11.0 (7-15) days, was longer than the qSOFAâ¯<â¯2 group, 6.0 (4-10) days (p-value <0.01). Logistic regression showed that qSOFAâ¯≥â¯2 predicts pLOS with an odds ratio of 3.78 (95% confidence interval, 2.04-6.97).CONCLUSION:
qSOFA scoreâ¯≥â¯2 is a prompt and simple tool to predict pLOS in geriatric patients with influenza infection.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Influenza Humana
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Escores de Disfunção Orgânica
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Geriatria
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Tempo de Internação
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article