机构:[1]Emergency Room, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China广东省中医院[2]Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, China
Background: Sepsis continues to carry a high rate of mortality, which makes effective and simple evaluation methods for predicting the prognosis of septic patients especially important. In this study, we retrospectively analyzed the relationships between three scoring systems including Sequential Organ Failure Assessment (SOFA) score, Quick SOFA (qSOFA) score, and Logistic Organ Dysfunction System (LODS) score and the prognoses of septic patients. Methods: The baseline data, SOFA score, qSOFA score, LODS score, 28-day prognosis, and 90-day prognosis of patients who met the diagnostic criteria of sepsis were retrieved from the Medical Information Mart for Intensive Care III (MIMIC-III) database. Receiver operating characteristic (ROC) curves were drawn for various indicators, and comparisons were drawn between the areas under the ROC curves (AUC) of the different scoring systems. Results: The 28-day AUC was 0.661 (0.652, 0.670) for SOFA, 0.558 (0.548, 0.568) for qSOFA, and 0.668 (0.658, 0.677) for LODS; AUC-qSOFA vs. AUC-LODS was 0.103 (0.087, 0.120) (P<0.001), and AUC-qSOFA vs. AUC-LODS was 0.110 (0.094, 0.125) (P<0.001). The 90-day AUC was 0.630 (0.621, 0.640) for SOFA, 0.551 (0.541, 0.560) for qSOFA, and 0.644 (0.635, 0.653) for LODS; AUC-SOFA vs. AUC-qSOFA was 0.079 (0.065, 0.094) (P<0.001), and AUC-qSOFA vs. AUC-LODS was 0.093 (0.079, 0.107) (P<0.001). Conclusions: SOFA score, qSOFA score, and LODS score can all be used to predict the prognosis of septic patients. LODS score and SOFA score have higher accuracy than qSOFA score; however, qSOFA is simpler to use, making it a more suitable tool in an emergency setting.
基金:
TCM Science and Technology of Guangdong Provincial Hospital of Chinese Medicine [YN2018ZD03]; Guangdong Provincial Key Laboratory of Research on Emergency in TCM [2017B030314176]; Traditional Chinese Medicine Bureau of Guangdong Province [20182052]
第一作者机构:[1]Emergency Room, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China[2]Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, China
通讯作者:
通讯机构:[1]Emergency Room, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine & Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China[*1]Emergency Room, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
推荐引用方式(GB/T 7714):
Li Yonglin,Yan Chunjiang,Gan Ziyan,et al.Prognostic values of SOFA score, qSOFA score, and LODS score for patients with sepsis[J].ANNALS OF PALLIATIVE MEDICINE.2020,9(3):1037-1044.doi:10.21037/apm-20-984.
APA:
Li, Yonglin,Yan, Chunjiang,Gan, Ziyan,Xi, Xiaotu,Tan, Zhanpeng...&Li, Guowei.(2020).Prognostic values of SOFA score, qSOFA score, and LODS score for patients with sepsis.ANNALS OF PALLIATIVE MEDICINE,9,(3)
MLA:
Li, Yonglin,et al."Prognostic values of SOFA score, qSOFA score, and LODS score for patients with sepsis".ANNALS OF PALLIATIVE MEDICINE 9..3(2020):1037-1044