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Published in: Infection 6/2017

Open Access 01-12-2017 | Brief Report

Application of the qSOFA score to predict mortality in patients with suspected infection in a resource-limited setting in Malawi

Authors: Michaëla A. M. Huson, Chawezi Katete, Lilian Chunda, Jonathan Ngoma, Claudia Wallrauch, Tom Heller, Tom van der Poll, Martin P. Grobusch

Published in: Infection | Issue 6/2017

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Abstract

Purpose

To determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection.

Methods

Prospective observational study in a tertiary referral hospital in Malawi.

Results

Predictive ability of qSOFA was reasonable [AUROC 0.73 (95% CI 0.68–0.78)], increasing to 0.77 (95% CI 0.72–0.82) when classifying all patients with altered mental status as high risk. Adding HIV status as a variable to the qSOFA score did not improve predictive value.

Conclusion

qSOFA is a simple tool that can aid risk stratification in resource-limited settings.
Appendix
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Literature
4.
go back to reference Harrington B, Kyriakos Vorkas C, Kanyama C, Ngoma J, Hoffman I, Hosseinipour MC. Altered mental status is an indicator of mortality and associated with both infectious and non-communicable disease in Lilongwe, Malawi. Trop Dr. 2015;45:164–7. doi:10.1177/0049475515577024. Harrington B, Kyriakos Vorkas C, Kanyama C, Ngoma J, Hoffman I, Hosseinipour MC. Altered mental status is an indicator of mortality and associated with both infectious and non-communicable disease in Lilongwe, Malawi. Trop Dr. 2015;45:164–7. doi:10.​1177/​0049475515577024​.
5.
Metadata
Title
Application of the qSOFA score to predict mortality in patients with suspected infection in a resource-limited setting in Malawi
Authors
Michaëla A. M. Huson
Chawezi Katete
Lilian Chunda
Jonathan Ngoma
Claudia Wallrauch
Tom Heller
Tom van der Poll
Martin P. Grobusch
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
Infection / Issue 6/2017
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-017-1057-5

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