Quick Sequential Organ Failure Assessment Score in Recognizing Infected Patients with Organ Dysfunction & Prediction of Mortality: Cohort Study

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Abstract

Objectives: To calculate the q-SOFA for postpartum patients admitted with infection and to correlate this with critical care unit admission & patient outcome. Methods: An observational, prospective cohort hospital-based study. It was conducted in Omdurman Maternity Hospital from October 2018-to March 2019. The study included 59 postpartum patients who were diagnosed with postpartum infection; their q-SOFA score was calculated on admission and then on daily basis, to detect their in-hospital mortality and morbidity. The data was analyzed using SPSS, using Pearson Chi-square which was significant at P value of 0.05. Results: Fifty-nine participants were involved, mean age was 28years.Those who delivered by cesarean section was 54.3%, 33(55.9%) developed surgical site infection. Five patients (8.5%) died and 54 (91.5%) discharged. 17(28.8%) were admitted to critical care unit. q-SOFA score was calculated & correlated to critical care unit admission & fate of the patient using Pearson Chi-square which was found to be significant 0.01 and 0.001, respectively (P value of 0.05). Conclusion: q-SOFA is a useful tool in detecting infected patients at risk of poor outcome and death. If the score≥2 patients need to be, admitted to critical care units and to have further assessment.
快速序贯脏器功能衰竭评价评分识别感染患者脏器功能障碍死亡率预测:队列研究
目的:计算产后感染住院患者的q-SOFA,并将其与入住重症监护病房进行比较;病人的结果。方法:一项以医院为基础的观察性前瞻性队列研究。该调查于2018年10月至2019年3月在恩图曼妇产医院进行。研究对象为59例产后感染患者;在入院时计算q-SOFA评分,然后每天计算q-SOFA评分,以检测其住院死亡率和发病率。数据采用SPSS统计分析,采用皮尔逊卡方分析,P值为0.05,差异有统计学意义。结果:共纳入59例,平均年龄28岁。经剖宫产分娩者占54.3%,手术部位感染33例(55.9%)。死亡5例(8.5%),出院54例(91.5%)。17例(28.8%)入住重症监护病房。计算q-SOFA评分&与重症监护病房入住相关;经Pearson卡方检验,结果分别为0.01和0.001 (P值为0.05)。结论:q-SOFA是检测有不良预后和死亡危险的感染患者的有效工具。如果评分≥2分,患者需要入住重症监护病房并进行进一步评估。
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