Analysis of the SOFA score, quick-SOFA, and SIRS criteria in burn patients with infection.

IF 1.2 Q3 NURSING
Revista Brasileira De Enfermagem Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI:10.1590/0034-7167-2024-0111
Francielli Mary Pereira Gimenez, Lucienne Tibery Queiroz Cardoso, Gilselena Kerbauy, Tiemi Matsuo, Cintia Magalhães Carvalho Grion
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引用次数: 0

Abstract

Objectives: to evaluate the SOFA score, qSOFA, SIRS criteria, and risk factors for hospital mortality in burn victims with suspected infection admitted to an intensive care unit.

Methods: a retrospective longitudinal study conducted at a public hospital between January 2017 and January 2020. We analyzed sepsis diagnostic scores at two time points: hospital admission and date of infection.

Results: of the 279 patients analyzed, 251 developed an infection. Among these, 145 had a positive SIRS score at the time of the burn, and 112 remained positive at the first documented infection. The SOFA score increased in 187 patients following the burn injury, and 34 remained positive at the time of infection.

Conclusions: the scores on the dates of burn injury and infection did not show variations in SIRS or SOFA compatible with sepsis diagnosis. Age, total body surface area burned, and SOFA score were independent risk factors for mortality.

烧伤合并感染患者的SOFA评分、quick-SOFA和SIRS标准分析。
目的:评估重症监护病房疑似感染烧伤患者的SOFA评分、qSOFA、SIRS标准和医院死亡率的危险因素。方法:2017年1月至2020年1月在某公立医院进行回顾性纵向研究。我们分析了两个时间点的败血症诊断评分:入院和感染日期。结果:279例患者中,251例发生感染。其中,145人在烧伤时SIRS评分呈阳性,112人在首次记录感染时仍呈阳性。187例烧伤患者SOFA评分升高,34例感染时仍呈阳性。结论:烧伤和感染日期的评分没有显示SIRS或SOFA与败血症诊断相符的变化。年龄、烧伤总面积和SOFA评分是死亡率的独立危险因素。
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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
477
审稿时长
21 weeks
期刊介绍: The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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