Open AccessPrognostic accuracy of Quick SOFA in older adults hospitalised with community acquired urinary tract infection
Author(s) -
Madrazo Manuel,
LópezCruz Ian,
Zaragoza Rafael,
Piles Laura,
Eiros José María,
Alberola Juan,
Artero Arturo
Publication year - 2021
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.14620
Subject(s) - medicine , sepsis , sofa score , systemic inflammatory response syndrome , septic shock , receiver operating characteristic , urinary system , prospective cohort study , population , procalcitonin , environmental health
Quick [Sepsis‐related] Sequential Organ Failure Assessment (qSOFA) is a prognostic score based on sepsis‐3 definition, easy to carry out, whose application has been studied in older adults with sepsis from different sources and respiratory sepsis. However, to date no study has analysed its prognostic accuracy in older adults admitted to hospital with community urinary tract infection. Methods In a prospective study of 282 older adults admitted to hospital with community acquired urinary tract infection, the application of qSOFA to predict hospital mortality was analysed. The predictive capacity of qSOFA for in‐hospital mortality was compared with Systemic Inflammatory Response Syndrome score (SIRS) and Sequential Organ Failure Assessment (SOFA), which require laboratory test in order to be calculated. Results In a population with a median age of 81 years, where 51.8% were males and 10.6% had septic shock, qSOFA showed sensibility and specificity of 88.46 and 75.78% and area under the receiver operating characteristic curves (AUROC) of 0.810. AUROC for qSOFA was significantly higher than that of SIRS (AUROC 0.597, P = .005) and with no statistical differences with SOFA (AUROC 0.841, P = .635). Conclusion qSOFA showed a better predictive prognostic accuracy than SIRS and similar to SOFA in older adults admitted to hospital with community acquired urinary tract infection, having the advantage of not requiring laboratory tests.