Sepsis & infection

Prognostic evaluation of quick sequential organ failure assessment score in ICU patients with sepsis across different income settings

Crit CarePublished Secondary analysis of the MOSAICS II prospective observational study

Primary result · 28-day mortality with higher qSOFAResult — go to the resultAdjusted relative risk 1.09 CI 1.00–1.18

Authors' conclusion

qSOFA was independently associated with 28-day mortality in ICU patients admitted for sepsis. In LLMIC and UMIC countries/regions, qSOFA was associated with early to late mortality but only early mortality in HIC countries/regions.

Study context

Population
ICU patients admitted for sepsis in Asian ICUs
Participants
4,826 patients · 343 ICUs · 22 countries
Comparison
Quick sequential organ failure assessment (qSOFA) score at ICU admission and mortality
Primary endpoint
Association between qSOFA and 28-day mortality
Follow-up
28 days
Methodological detailsinternational, multicentre
  • International
  • Multicentre

Primary result

28-day mortality with higher qSOFA

Adjusted relative risk

1.09

CI 1.00–1.18

P = 0.038

qSOFA
adjusted RR 1.09 (CI 1.00–1.18); P = 0.038

As reported in the abstract

Higher qSOFA associated with increasing 28-day mortality in low and lower middle income (LLMIC)
P < 0.001
Higher qSOFA associated with increasing 28-day mortality in upper middle income (UMIC)
P < 0.001
No association of qSOFA with 28-day mortality in high income (HIC)
P = 0.220

Further findings

90-day mortality

Higher 90-day mortality with increased qSOFA in LLMIC
P < 0.001
Higher 90-day mortality with increased qSOFA in UMIC
P < 0.001
Association in LLMIC and UMIC only, not HIC

3-day mortality

Higher 3-day mortality with increasing qSOFA across all income countries/regions
P < 0.001

Original publication

Prognostic evaluation of quick sequential organ failure assessment score in ICU patients with sepsis across different income settings. Crit Care. Published 23 January 2024. doi:10.1186/s13054-024-04804-7

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