Open AccessComparison of Systemic Inflammatory Response Syndrome and quick Sequential Organ Failure Assessment scores in predicting bacteremia in the emergency department
Author(s) -
Furuta Katsuyuki,
Akamatsu Hiroaki,
Sada Ryuichi,
Miyamoto Kyohei,
Teraoka Shunsuke,
Hayata Atsushi,
Ozawa Yuichi,
Nakanishi Masanori,
Koh Yasuhiro,
Yamamoto Nobuyuki
Publication year - 2021
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.654
Subject(s) - bacteremia , systemic inflammatory response syndrome , medicine , emergency department , odds ratio , confidence interval , retrospective cohort study , sepsis , antibiotics , psychiatry , microbiology and biotechnology , biology
Aim The emergency department requires simple and useful clinical indicators to identify bacteremia. This retrospective study explored the Systemic Inflammatory Response Syndrome (SIRS) and quick Sequential Organ Failure Assessment (qSOFA) scores for predicting bacteremia. Methods Between April and September 2017, we assessed blood cultures of 307 patients in our emergency department. We calculated the SIRS and qSOFA scores for these patients and evaluated their correlation with bacteremia. Results Of 307 patients, 66 (21.5%) had bacteremia, 237 (77.2%) were SIRS‐positive, and 123 (40.0%) were qSOFA‐positive. The sensitivity and specificity of the SIRS score for predicting bacteremia were 87.9% and 25.7%, respectively. The sensitivity and specificity of the qSOFA score were 47.0% and 61.8%, respectively. Multivariate analysis revealed that body temperature (odds ratio, 2.16; 95% confidence interval, 1.22–3.84; P = 0.009) and blood pressure (odds ratio, 2.72; 95% confidence interval, 1.39–5.35; P = 0.004) significantly associated with bacteremia. Conclusions The SIRS score was a more sensitive indicator than the qSOFA score for predicting bacteremia.