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.
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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