烧伤感染患者的序贯器官衰竭评估（SOFA）评分、简化序贯器官衰竭评估（quick-SOFA）及全身炎症反应综合征（SIRS）标准分析
Analysis of the SOFA score, quick-SOFA, and SIRS criteria in burn patients with infection.
作者信息
Gimenez Francielli Mary Pereira, Cardoso Lucienne Tibery Queiroz, Kerbauy Gilselena, Matsuo Tiemi, Grion Cintia Magalhães Carvalho
机构信息
Universidade Estadual de Londrina. Londrina, Paraná, Brazil.
出版信息
Rev Bras Enferm. 2025 Aug 8;78(3):e20240111. doi: 10.1590/0034-7167-2024-0111. eCollection 2025.
OBJECTIVES
to evaluate the SOFA score, qSOFA, SIRS criteria, and risk factors for hospital mortality in burn victims with suspected infection admitted to an intensive care unit.
METHODS
a retrospective longitudinal study conducted at a public hospital between January 2017 and January 2020. We analyzed sepsis diagnostic scores at two time points: hospital admission and date of infection.
RESULTS
of the 279 patients analyzed, 251 developed an infection. Among these, 145 had a positive SIRS score at the time of the burn, and 112 remained positive at the first documented infection. The SOFA score increased in 187 patients following the burn injury, and 34 remained positive at the time of infection.
CONCLUSIONS
the scores on the dates of burn injury and infection did not show variations in SIRS or SOFA compatible with sepsis diagnosis. Age, total body surface area burned, and SOFA score were independent risk factors for mortality.
目的
评估入住重症监护病房的疑似感染烧伤患者的序贯器官衰竭评估（SOFA）评分、快速序贯器官衰竭评估（qSOFA）、全身炎症反应综合征（SIRS）标准及医院死亡风险因素。
方法
于2017年1月至2020年1月在一家公立医院开展一项回顾性纵向研究。我们分析了两个时间点的脓毒症诊断评分：入院时和感染日期。
结果
在分析的279例患者中，251例发生感染。其中，145例在烧伤时SIRS评分呈阳性，112例在首次记录的感染时仍为阳性。187例患者在烧伤后SOFA评分升高，34例在感染时仍为阳性。
结论
烧伤和感染日期的评分未显示出与脓毒症诊断相符的SIRS或SOFA变化。年龄、烧伤总面积和SOFA评分是死亡的独立风险因素。
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