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Table 3 Sensitivity of clinical tools to predict clinical outcomes

From: Low sensitivity of qSOFA, SIRS criteria and sepsis definition to identify infected patients at risk of complication in the prehospital setting and at the emergency department triage

 

ICU admission

ICU stay ≥ 3 days

Mortality at 48 h

Prehospital setting (%;IQR)

 qSOFA score ≥ 2

36.3 (26.6–47.2)

17.4 (9.1–30.7)

68.0 (48.4–82.8)

 SIRS criteria

68.8 (57.9–77.9)

74.6 (62.2–84)

64.0 (44.5–79.8)

 Sepsis definition

50 (39.3–60.7)

54.2 (41.7–66.3)

52.0 (33.5–70)

ED’s triage (%;IQR)

 qSOFA score ≥ 2

31.2 (22.2–42.1)

30.5 (20.3–43.2)

60.0 (40.7–76.6)

 SIRS criteria

58.8 (47.8–68.9)

57.6 (44.9–69.4)

80.0 (60.9–91.1)

 Sepsis definition

42.5 (32.3–53.4)

42.4 (30.6–55.1%)

60.0 (40.7–76.6)

  1. Data are presented as percentages and interquartile range (IQR)
  2. qSOFA score: ≥2 items: RR ≥22/min; SBP ≤100 mmHg; GCS <15 or decline from baseline. SIRS criteria: ≥2 items: RR >20/min, HR >90/min, temperature ≥ 38.3 °C or <36 °C. Sepsis definition: SIRS criteria plus one of the following item: SBP <90 mmHG, GCS <15 or decline from baseline, oxygen saturation < 90%
  3. ED emergency department, ICU intensive care unit
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

ISSN: 1757-7241