Evidence map›Paper›PMID 34507543›Full record

ArticleBMC emergency medicine2021

Predictive value of qSOFA score for death in emergency department resuscitation room among adult trauma patients:a retrospective study.

Wenjuan Huang, Peng Yang, Feng Xu, Du Chen

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Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Wenjuan Huang *Department of Critical Care Medicine, the First Affiliated Hospital of Soochow University, Suzhou City, Jiangsu Province, China.
Peng Yang *Department of Emergency Medicine, the First Affiliated Hospital of Soochow University, Suzhou City, Jiangsu Province, China.
Feng XuDepartment of Emergency Medicine, the First Affiliated Hospital of Soochow University, Suzhou City, Jiangsu Province, China.
Du ChenDepartment of Critical Care Medicine, the First Affiliated Hospital of Soochow University, Suzhou City, Jiangsu Province, China. sdfyycd@suda.edu.cn.ORCID 0000-0001-6990-3310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the predictive value of the quick Sequential Organ Failure Assessment (qSOFA) score for death in the emergency department (ED) resuscitation room among adult trauma patients.

methodsDuring the period November 1, 2016 to November 30, 2019, data was retrospectively collected of adult trauma patients triaged to the ED resuscitation room in the First Affiliated Hospital of Soochow University. Death occurring in the ED resuscitation room was the study endpoint. Univariate and multivariate analyses were performed to explore the association between qSOFA score and death. Receiver operating characteristic (ROC) curve analysis was also performed for death.

resultsA total of 1739 trauma victims were admitted, including 1695 survivors and 44 non-survivors. The death proportion raised with qSOFA score: 0.60% for qSOFA = 0, 3.28% for qSOFA = 1, 12.06% for qSOFA = 2, and 15.38% for qSOFA = 3, p < 0.001. Subgroup of qSOFA = 0 was used as a reference. In univariate analysis, crude OR for death with qSOFA = 1 was 5.65 [95% CI 2.25 to 14.24, p < 0.001], qSOFA = 2 was 22.85 [95% CI 8.84 to 59.04, p < 0.001], and qSOFA = 3 was 30.30 [95% CI 5.50 to 167.05, p < 0.001]. In multivariate analysis, with an adjusted OR (aOR) of 2.87 (95% CI 0.84 to 9.87, p = 0.094) for qSOFA = 1, aOR 6.80 (95% CI 1.79 to 25.90, p = 0.005) for qSOFA = 2, and aOR 24.42 (95% CI 3.67 to 162.27, p = 0.001) for qSOFA = 3. The Area Under the Curve (AUC) for predicting death in the ED resuscitation room among trauma patients was 0.78 [95% CI, 0.72-0.85].

conclusionsThe qSOFA score can assess the severity of emergency trauma patients and has good predictive value for death in the ED resuscitation room.

Indexed as

Emergency Service, HospitalOrgan Dysfunction ScoresAdultAgedFemaleHospital MortalityHumansMaleMiddle AgedPrognosisResuscitationRetrospective StudiesWounds and InjuriesED resuscitation roomPredictive valueqSOFATrauma patients

Identifiers

PMID34507543
PMCPMC8434734

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.