A Comparison of the Quick-SOFA and Systemic Inflammatory Response Syndrome Criteria for the Diagnosis of Sepsis and Prediction of Mortality: A Systematic Review and Meta-Analysis

Chest

Volumn 153, Issue 3, 2018, Pages 646-655

  Serafim, Rodrigo ^a,b,c   Gomes, José Andrade ^d   Salluh, Jorge ^a,c   Póvoa, Pedro ^e,f  

^a D OR INSTITUTE FOR RESEARCH AND EDUCATION IDOR   (Brazil)

^b Hospital Copa D'Or   (Brazil)

^c FEDERAL UNIVERSITY OF RIO DE JANEIRO   (Brazil)

^d HOSPITAL DA LUZ   (Portugal)

^e HOSPITAL DE SÃO FRANCISCO XAVIER   (Portugal)

^f NOVA MEDICAL SCHOOL   (Portugal)

Author keywords

prediction of mortality; qSOFA; sepsis diagnosis; SIRS criteria

Indexed keywords

ARTICLE; COMPARATIVE STUDY; DIAGNOSTIC TEST ACCURACY STUDY; DISEASE CLASSIFICATION; HOSPITAL MORTALITY; HUMAN; INTENSIVE CARE; LENGTH OF STAY; META ANALYSIS; PRIORITY JOURNAL; QUICK SEPSIS RELATED ORGAN FAILURE ASSESSMENT; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY ANALYSIS; SENSITIVITY AND SPECIFICITY; SEPSIS; SYSTEMATIC REVIEW; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME CRITERIA; MORTALITY; ORGAN DYSFUNCTION SCORE; PREDICTIVE VALUE; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME;

HOSPITAL MORTALITY; HUMANS; ORGAN DYSFUNCTION SCORES; PREDICTIVE VALUE OF TESTS; SEPSIS; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME;

EID: 85042943639     PISSN: 00123692     EISSN: 19313543     Source Type: Journal    
DOI: 10.1016/j.chest.2017.12.015     Document Type: Article

References (32)

1. Singer, M., Deutschman, C.S., Seymour, C.W., et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 315:8 (2016), 801–810.
2. Bone, R.C., Balk, R.A., Cerra, F.B., et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest 101:6 (1992), 1644–1655.
3. Levy, M.M., Fink, M.P., Marshall, J.C., et al. 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. Intensive Care Med 29:4 (2003), 530–538.
4. Sprung, C.L., Schein, R.M., Balk, R.A., The new sepsis consensus definitions: the good, the bad and the ugly. Intensive Care Med 42:12 (2016), 2024–2026.
5. Carneiro, A.H., Povoa, P., Gomes, J.A., Dear Sepsis-3, we are sorry to say that we don't like you. Rev Bras Ter Intensiva 29:1 (2017), 4–8.
6. Seymour, C.W., Liu, V.X., Iwashyna, T.J., et al. Assessment of Clinical Criteria for Sepsis: For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 315:8 (2016), 762–774.
7. Cortes-Puch, I., Hartog, C.S., Opening the debate on the new sepsis definition change is not necessarily progress: revision of the sepsis definition should be based on new scientific insights. Am J Respir Crit Care Med 194:1 (2016), 16–18.
8. Simpson, S.Q., New sepsis criteria: a change we should not make. Chest 149:5 (2016), 1117–1118.
9. Dorsett, M., Kroll, M., Smith, C.S., Asaro, P., Liang, S.Y., Moy, H.P., qSOFA has poor sensitivity for prehospital identification of severe sepsis and septic shock. Prehosp Emerg Care, 2017, 1–9.
10. Williams, J.M., Greenslade, J.H., McKenzie, J.V., Chu, K., Brown, A.F., Lipman, J., Systemic Inflammatory response syndrome, quick sequential organ function assessment, and organ dysfunction: insights from a prospective database of ED patients with infection. Chest 151:3 (2017), 586–596.
11. Stroup, D.F., Berlin, J.A., Morton, S.C., et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group. JAMA 283:15 (2000), 2008–2012.
12. Liberati, A., Altman, D.G., Tetzlaff, J., et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 62:10 (2009), e1–e34.
13. Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Tugwell P. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm, Accessed May 30, 2017.
14. Hackshaw, A., Statistical formulae for calculating some 95% confidence intervals. A Concise Guide to Clinical Trials. 2009, Wiley-Blackwell, Hoboken, NJ, 205–207.
15. Daly, L.E., Confidence limits made easy: interval estimation using a substitution method. Am J Epidemiol 147:8 (1998), 783–790.
16. Review Manager, version 5.3. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2014.
17. Raith, E.P., Udy, A.A., Bailey, M., et al. Prognostic accuracy of the SOFA Score, SIRS criteria, and qSOFA score for in-hospital mortality among adults with suspected infection admitted to the intensive care unit. JAMA 317:3 (2017), 290–300.
18. Siddiqui, S., Chua, M., Kumaresh, V., Choo, R., A comparison of pre ICU admission SIRS, EWS and q SOFA scores for predicting mortality and length of stay in ICU. J Crit Care 41 (2017), 191–193.
19. Freund, Y., Lemachatti, N., Krastinova, E., et al. Prognostic accuracy of Sepsis-3 criteria for in-hospital mortality among patients with suspected infection presenting to the emergency department. JAMA 317:3 (2017), 301–308.
20. April, M.D., Aguirre, J., Tannenbaum, L.I., et al. Sepsis clinical criteria in emergency department patients admitted to an intensive care unit: an external validation study of quick sequential organ failure assessment. J Emerg Med 52:5 (2017), 622–631.
21. Churpek, M.M., Snyder, A., Han, X., et al. Quick sepsis-related organ failure assessment, systemic inflammatory response syndrome, and early warning scores for detecting clinical deterioration in infected patients outside the intensive care unit. Am J Respir Crit Care Med 195:7 (2017), 906–911.
22. Finkelsztein, E.J., Jones, D.S., Ma, K.C., et al. Comparison of qSOFA and SIRS for predicting adverse outcomes of patients with suspicion of sepsis outside the intensive care unit. Crit Care, 21(1), 2017, 73.
23. Park, H.K., Kim, W.Y., Kim, M.C., Jung, W., Ko, B.S., Quick sequential organ failure assessment compared to systemic inflammatory response syndrome for predicting sepsis in emergency department. J Crit Care 42 (2017), 12–17.
24. Donnelly, J.P., Safford, M.M., Shapiro, N.I., Baddley, J.W., Wang, H.E., Application of the Third International Consensus Definitions for Sepsis (Sepsis-3) classification: a retrospective population-based cohort study. Lancet Infect Dis 17:6 (2017), 661–670.
25. Sterling, S.A., Puskarich, M.A., Glass, A.F., Guirgis, F., Jones, A.E., The impact of the Sepsis-3 septic shock definition on previously defined septic shock patients. Crit Care Med 45:9 (2017), 1436–1442.
26. Puskarich, M.A., Marchick, M.R., Kline, J.A., Steuerwald, M.T., Jones, A.E., One year mortality of patients treated with an emergency department based early goal directed therapy protocol for severe sepsis and septic shock: a before and after study. Crit Care, 13(5), 2009, R167.
27. Jones, A.E., Shapiro, N.I., Trzeciak, S., et al. Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. JAMA 303:8 (2010), 739–746.
28. Kaukonen, K.M., Bailey, M., Bellomo, R., Systemic inflammatory response syndrome criteria for severe sepsis. N Engl J Med, 373(9), 2015, 881.
29. Askim, A., Moser, F., Gustad, L.T., et al. Poor performance of quick-SOFA (qSOFA) score in predicting severe sepsis and mortality—a prospective study of patients admitted with infection to the emergency department. Scand J Trauma Resusc Emerg Med, 25(1), 2017, 56.
30. Povoa, P.R., Carneiro, A.H., Ribeiro, O.S., Pereira, A.C., Portuguese Community-Acquired Sepsis Study Group. Influence of vasopressor agent in septic shock mortality. Results from the Portuguese Community-Acquired Sepsis Study (SACiUCI study). Crit Care Med 37:2 (2009), 410–416.
31. Capp, R., Horton, C.L., Takhar, S.S., et al. Predictors of patients who present to the emergency department with sepsis and progress to septic shock between 4 and 48 hours of emergency department arrival. Crit Care Med 43:5 (2015), 983–988.
32. Hiensch, R., Poeran, J., Saunders-Hao, P., et al. Impact of an electronic sepsis initiative on antibiotic use and health care facility-onset Clostridium difficile infection rates. Am J Infect Control 45:10 (2017), 1091–1100.