Prehospital and in-hospital quick Sequential Organ Failure Assessment (qSOFA) scores to predict in-hospital mortality among trauma patients : an analysis of nationwide registry data
© 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine..
AIM: The quick Sequential Organ Failure Assessment (qSOFA) score can be used to predict in-hospital mortality in trauma patients. We sought to determine whether repeatedly calculating the qSOFA score improves its discriminative ability in predicting in-hospital mortality in trauma patients.
METHODS: We undertook a multicenter retrospective study, analyzing 90,974 trauma patients registered in the Japan Trauma Data Bank (a nationwide trauma registry) from 2004 to 2017. Patients included were ≥18 years old and transferred directly to hospitals from their respective scenes of injury. We calculated the qSOFA score at two time points: at the scene (prehospital qSOFA score) and on arrival at the hospital (hospital qSOFA score). We evaluated the discriminative ability of repeated calculations of the qSOFA score. The primary outcome in consideration was in-hospital mortality.
RESULTS: In-hospital mortality occurred in 5604 patients (6.2%). The predictive accuracy of the hospital qSOFA score was higher than that of the prehospital qSOFA (area under the receiver operating characteristics curve [AUROC] 0.74 vs. 0.69, P < 0.0001) in predicting in-hospital mortality. However, the mean qSOFA score had the highest predictive accuracy (AUROC 0.76, P < 0.0001). If the hospital qSOFA score was increased compared to the prehospital score, this indicated an approximately 2-fold to 4-fold increase in in-hospital mortality.
CONCLUSIONS: Repeated calculations of qSOFA score improved its ability to predict in-hospital mortality in trauma patients. Specifically, we should consider an increasing qSOFA score as a "red flag" to clinicians in the emergency department.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:7 |
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| Enthalten in: |
Acute medicine & surgery - 7(2020), 1 vom: 20. Jan., Seite e532 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Miyamoto, Kyohei [VerfasserIn] |
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| Links: |
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| Themen: |
In‐hospital mortality |
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| Anmerkungen: |
Date Revised 15.04.2022 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1002/ams2.532 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM31165990X |
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| 100 | 1 | |a Miyamoto, Kyohei |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Prehospital and in-hospital quick Sequential Organ Failure Assessment (qSOFA) scores to predict in-hospital mortality among trauma patients |b an analysis of nationwide registry data |
| 264 | 1 | |c 2020 | |
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| 500 | |a Date Revised 15.04.2022 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. | ||
| 520 | |a AIM: The quick Sequential Organ Failure Assessment (qSOFA) score can be used to predict in-hospital mortality in trauma patients. We sought to determine whether repeatedly calculating the qSOFA score improves its discriminative ability in predicting in-hospital mortality in trauma patients | ||
| 520 | |a METHODS: We undertook a multicenter retrospective study, analyzing 90,974 trauma patients registered in the Japan Trauma Data Bank (a nationwide trauma registry) from 2004 to 2017. Patients included were ≥18 years old and transferred directly to hospitals from their respective scenes of injury. We calculated the qSOFA score at two time points: at the scene (prehospital qSOFA score) and on arrival at the hospital (hospital qSOFA score). We evaluated the discriminative ability of repeated calculations of the qSOFA score. The primary outcome in consideration was in-hospital mortality | ||
| 520 | |a RESULTS: In-hospital mortality occurred in 5604 patients (6.2%). The predictive accuracy of the hospital qSOFA score was higher than that of the prehospital qSOFA (area under the receiver operating characteristics curve [AUROC] 0.74 vs. 0.69, P < 0.0001) in predicting in-hospital mortality. However, the mean qSOFA score had the highest predictive accuracy (AUROC 0.76, P < 0.0001). If the hospital qSOFA score was increased compared to the prehospital score, this indicated an approximately 2-fold to 4-fold increase in in-hospital mortality | ||
| 520 | |a CONCLUSIONS: Repeated calculations of qSOFA score improved its ability to predict in-hospital mortality in trauma patients. Specifically, we should consider an increasing qSOFA score as a "red flag" to clinicians in the emergency department | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a in‐hospital mortality | |
| 650 | 4 | |a quick sequential organ failure assessment score | |
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| 700 | 1 | |a Shibata, Naoaki |e verfasserin |4 aut | |
| 700 | 1 | |a Ogawa, Atsuhiro |e verfasserin |4 aut | |
| 700 | 1 | |a Nakashima, Tsuyoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Kato, Seiya |e verfasserin |4 aut | |
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