Head-to-head comparison of qSOFA and SIRS criteria in predicting the mortality of infected patients in the emergency department: a meta-analysis

Recently, the concept of sepsis was redefined by an international task force. This international task force of experts recommended using the quick Sequential Organ Failure Assessment (qSOFA) criteria instead of the systemic inflammatory response syndrome (SIRS) criteria to classify patients at high...

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Bibliographic Details
Published in:Scandinavian journal of trauma, resuscitation and emergency medicine resuscitation and emergency medicine, 2018-07, Vol.26 (1), p.56-56, Article 56
Main Authors: Jiang, Jianjun, Yang, Jin, Mei, Jing, Jin, Yongmei, Lu, Youjin
Format: Article
Language:English
Subjects:
Accuracy
Analysis
Bias
Confounding (Statistics)
Diagnosis
Emergency department
Emergency medical care
Health risk assessment
Infection
Infections
Medical prognosis
Medical tests
Meta-analysis
Mortality
Original Research
Prognosis
qSOFA
Sepsis
SIRS
Statistical analysis
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Summary:Recently, the concept of sepsis was redefined by an international task force. This international task force of experts recommended using the quick Sequential Organ Failure Assessment (qSOFA) criteria instead of the systemic inflammatory response syndrome (SIRS) criteria to classify patients at high risk for death. However, the added value of these new criteria in the emergency department (ED) remains unclear. Thus, we performed this meta-analysis to determine the diagnostic accuracy of the qSOFA criteria in predicting mortality in ED patients with infections and compared the performance with that of the SIRS criteria. PubMed, EMBASE and Google Scholar (up to April 2018) were searched for related articles. A 2 × 2 contingency table was constructed according to mortality and qSOFA score (
ISSN:1757-7241
1757-7241
DOI:10.1186/s13049-018-0527-9