Format

Send to

Choose Destination
Resuscitation. 2018 Jan;122:13-18. doi: 10.1016/j.resuscitation.2017.11.036. Epub 2017 Nov 11.

Frequency and significance of qSOFA criteria during adult rapid response team reviews: A prospective cohort study.

Author information

1
Alfred Hospital, 55 Commercial Road, Melbourne, Victoria, 3004, Australia.
2
Department of Intensive Care, Austin Hospital, 145 Studley Road, Heidelberg, Victoria, 3084, Australia.
3
Department of Intensive Care, Austin Hospital, 145 Studley Road, Heidelberg, Victoria, 3084, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Abstract

AIM:

A new definition of sepsis released by an international task-force has introduced the concept of quick Sequential (Sepsis-Related) Organ Failure Assessment (qSOFA). This study aimed to measure the proportion of patients who fulfilled qSOFA criteria during a Rapid Response Team (RRT) review and to assess their associated outcomes.

METHODS:

We conducted a prospective study of adult RRT reviews over a one month period between 6th June and 10th July 2016 in a large tertiary hospital in Melbourne Australia RESULTS: Over a one-month period, there were 282 RRT reviews, 258 of which were included. One hundred out of 258 (38.8%) RRT review patients fulfilled qSOFA criteria. qSOFA positive patients were more likely to be admitted to the intensive care unit (29% vs 18%, P=0.04), to have repeat RRT reviews (27% vs 13%; p=0.007) and die in hospital (31% vs 10%, P<0.001). qSOFA positive patients with suspected infection were more likely to be admitted to the intensive care unit compared to patients with infection alone (37% vs 15%, P=0.002). Eleven of 42 patients (26%) who had infection and qSOFA died whilst in hospital, compared to 8/55 (15%) of patients with infection alone (P=0.2).

CONCLUSION:

Adult patients who are qSOFA positive at the time of their RRT review are at increased risk of in-hospital mortality. The assessment of qSOFA may be a useful triage tool during a RRT review.

KEYWORDS:

Infection; RRT call; SOFA; Sepsis; qSOFA

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center