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Table 4 Subgroup analysis

From: Head-to-head comparison of qSOFA and SIRS criteria in predicting the mortality of infected patients in the emergency department: a meta-analysis

Subgroup

No. of studies

No. of patients

RR (95% CI)

SEN (95% CI)

SPE (95% CI)

Test for heterogeneity (I2)

All studies

 qSOFA

8

52,849

4.55 (3.38–6.14)

0.42 (0.31–0.54)

0.88 (0.83–0.92)

91.1

 SIRS

8

52,849

2.75 (1.96–3.86)

0.81 (0.75–0.86)

0.41 (0.32–0.50)

89

Prospective studies

 qSOFA

4

11,122

5.34 (4.19–6.82)

0.39 (0.22–0.60)

0.90 (0.83–0.94)

37.2

 SIRS

4

11,122

3.23 (1.95–4.33)

0.80 (0.67–0.89)

0.47 (0.38–0.56)

78.5

Retrospective studies

 qSOFA

4

41,727

3.95 (2.48–6.44)

0.44 (0.38–0.50)

0.85 (0.80–0.90)

86.2

 SIRS

4

41,727

2.35 (1.40–3.93)

0.83 (0.78–0.87)

0.34 (0.21–0.49)

84.4

In-hospital mortality

 qSOFA

5

41,372

4.20 (3.18–5.56)

0.49 (0.41–0.57)

0.84 (0.81–0.86)

86.6

 SIRS

5

41,372

2.97 (1.84–4.80)

0.85 (0.81–0.88)

0.35 (0.25–0.46)

81.8

30-day mortality

 qSOFA

3

11,477

5.22 (2.70–10.07)

0.41 (0.37–0.46)

0.92 (0.92–0.93)

84.1

 SIRS

3

11,477

2.42 (1.40–4.23)

0.74 (0.69–0.78)

0.54 (0.53–0.55)

81.4

The initial values

 qSOFA

5

35,462

3.29 (2.51–4.29)

0.33 (0.22–0.47)

0.90 (0.82–0.94)

79.1

 SIRS

5

35,462

1.93 (1.20–3.15)

0.78 (0.68–0.86)

0.37 (0.25–0.51)

92.1

The worst values

 qSOFA

3

17,387

6.89 (5.12–9.27)

0.55 (0.47–0.63)

0.87 (0.82–0.90)

71

 SIRS

3

17,387

4.24 (3.50–5.14)

0.85 (0.75–0.91)

0.46 (0.35–0.57)

0

  1. qSOFA quick Sequential Organ Failure Assessment, SIRS systemic inflammatory response syndrome, RR risk ratio, SEN sensitivity; SPE specificity; CI confidence interval