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qSOFA 评分在马拉维资源有限环境下疑似感染患者中的死亡率预测中的应用。

Application of the qSOFA score to predict mortality in patients with suspected infection in a resource-limited setting in Malawi.

机构信息

Division of Infectious Diseases, Center of Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, Room G2-105, 1105 AZ, Amsterdam, The Netherlands.

Division of Infectious Diseases, Center of Tropical Medicine and Travel Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Infection. 2017 Dec;45(6):893-896. doi: 10.1007/s15010-017-1057-5. Epub 2017 Aug 7.

DOI:10.1007/s15010-017-1057-5
PMID:28786004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5696439/
Abstract

PURPOSE

To determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection.

METHODS

Prospective observational study in a tertiary referral hospital in Malawi.

RESULTS

Predictive ability of qSOFA was reasonable [AUROC 0.73 (95% CI 0.68-0.78)], increasing to 0.77 (95% CI 0.72-0.82) when classifying all patients with altered mental status as high risk. Adding HIV status as a variable to the qSOFA score did not improve predictive value.

CONCLUSION

qSOFA is a simple tool that can aid risk stratification in resource-limited settings.

摘要

目的

确定快速序贯器官衰竭评估(qSOFA)在马拉维疑似感染患者中的预测价值。

方法

在马拉维的一家三级转诊医院进行前瞻性观察性研究。

结果

qSOFA 的预测能力合理[AUROC 0.73(95%CI 0.68-0.78)],当将所有精神状态改变的患者均归类为高危时,预测能力提高至 0.77(95%CI 0.72-0.82)。将 HIV 状态作为变量添加到 qSOFA 评分中并不会提高预测价值。

结论

qSOFA 是一种简单的工具,可以帮助资源有限的环境进行风险分层。

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本文引用的文献

1
Predictive value of the qSOFA score in patients with suspected infection in a resource limited setting in Gabon.qSOFA评分在加蓬资源有限环境下疑似感染患者中的预测价值。
Travel Med Infect Dis. 2017 Jan-Feb;15:76-77. doi: 10.1016/j.tmaid.2016.10.014. Epub 2016 Nov 5.
2
Comparison of the qSOFA and CRB-65 for risk prediction in patients with community-acquired pneumonia.qSOFA与CRB-65在社区获得性肺炎患者风险预测中的比较。
Intensive Care Med. 2016 Dec;42(12):2108-2110. doi: 10.1007/s00134-016-4517-y. Epub 2016 Sep 19.
3
The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).《脓毒症及脓毒性休克第三次国际共识定义(脓毒症-3)》
JAMA. 2016 Feb 23;315(8):801-10. doi: 10.1001/jama.2016.0287.
4
Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).脓毒症临床标准评估:针对《脓毒症及脓毒性休克第三次国际共识定义》(Sepsis-3)。
JAMA. 2016 Feb 23;315(8):762-74. doi: 10.1001/jama.2016.0288.
5
Altered mental status is an indicator of mortality and associated with both infectious and non-communicable disease in Lilongwe, Malawi.在马拉维的利隆圭,精神状态改变是死亡率的一个指标,且与传染病和非传染性疾病都有关联。
Trop Doct. 2015 Jul;45(3):164-7. doi: 10.1177/0049475515577024. Epub 2015 Mar 29.