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qSOFA Score
Aka: qSOFA Score, Quick Sequential Organ Failure Assessment
- See Also
- Sequential Organ Failure Assessment Score (SOFA Score)
- Sepsis in Adults
- SIRS Score
- Indications
- Sepsis and its prognosis (alternative to SIRS Criteria)
- Criteria: One point assigned for each of 3 positive criteria
- Respiratory Rate >22 breaths/min
- Systolic Blood Pressure <100 mmHg
- Altered Mental Status
- Interpretation
- qSOFA Score 2 consistent wth Sepsis (if infectious source)
- qSOFA Score <2 is associated with a mortality of 3%, compared with 24% mortality for score of 2-3
- Prediction of in-hospital mortality
- Test Sensitivity: 70%
- Test Specificity: 80%
- Precautions
- qSOFA Score alone has inadequate Test Sensitivity in Sepsis
- Positive qSOFA Score should prompt aggressive Resuscitation for Sepsis
- Negative qSOFA Score and a suspicion for Sepsis, should prompt complete SOFA Score calculation
- Maitra (2018) Clin Microbiol Infect 24(11): 1123-9
- Tusgul (2017) Scand J Trauma Resusc Emerg Mefd 25(1):108 [PubMed]
- References
- Churpek (2017) Am J Respir Crit Care Med 195(7):906-11 +PMID: 27649072 [PubMed]
- Freund (2017) JAMA 317(3): 301-8 [PubMed]
- Moskowitz (2017) Crit Care Med 45(11): 1813-9 [PubMed]