Quick Sofa Vs Sirs

The quick sofa score quicksofa or qsofa was introduced by the sepsis 3 group in february 2016 as a simplified version of the sofa score as an initial way to identify patients at high risk for poor outcome with an infection.

Quick sofa vs sirs. A comparison of the quick sofa and systemic inflammatory response syndrome criteria for the diagnosis of sepsis and prediction of mortality. Several studies were published to validate the quick sepsis related organ failure assessment qsofa namely in comparison with the systemic inflammatory response syndrome sirs criteria. A systematic review and meta analysis author links open overlay panel rodrigo serafim md a b c josé andrade gomes md d jorge salluh md phd a c pedro póvoa md phd e f. Sofa is preferred over sirs since it allows clinicians to identify organ dysfunction and can also account for clinical intervention.

Importance the sepsis 3 criteria emphasized the value of a change of 2 or more points in the sequential sepsis related organ failure assessment sofa score introduced quick sofa qsofa and removed the systemic inflammatory response syndrome sirs criteria from the sepsis definition. Similarly with regards to the composite secondary endpoint sofa score showed better prognostic accuracy auroc 0 74 vs 0 61 sirs vs 0 61 qsofa respectively. The qsofa quick sofa score for sepsis identifies high risk patients for in hospital mortality with suspected infection outside the icu. The sepsis 3 definition provides a change of two or more scores from zero or a known baseline of the sequential organ failure assessment sofa as criteria of sepsis.

Drawbacks to this method include the need for laboratory variables such as creatine and bilirubin levels and the need for a clinician to suspect sepsis beforehand. It is well established that the rapid identification of patients with sepsis is needed in order to initiate timely care to improve morbidity and mortality. The sirs criteria definitions of sepsis are being replaced as they were found to possess too many limitations. This is an unprecedented time.

But the sofa score requires multiple laboratory tests and may not be available in a timely manner. The current use of 2 or more sirs. The systemic inflammatory response syndrome sirs criteria have been used for some time for screening however the sensitivity and specificity of these criteria have been brought to question based on recent evidence 2. The aim of this study was to compare the sofa score and the quick sofa qsofa to systemic inflammatory response syndrome sirs criteria in predictive ability of mortality and organ failure.

To facilitate simple recognition in prehospital ward and the emergency department the task force recommended a prompt called qsofa for quick sepsis related organ dysfunction assessment score. Moreover the study findings were consistent also in multiple sensitivity analyses including the analyses of mechanically ventilated only and non ventilated only.