Eficacia de quickSOFA como marcador pronóstico de sepsis en pacientes de 30 a 80 años del Hospital Teodoro Maldonado Carbo en el periodo del 2017.

Abstract

Introduction: Quick Sofa or quick sepsis related organ failure assessment is a prognostic scale that assesses the possibility of developing sepsis and mortality quickly and prior to admission to the intensive care unit, is comprised of three parameters which are altered level of consciousness , systolic blood pressure and respiratory rate. Methods: Observational study, retrospective in 2017, patients in the emergency observation areas of Hospital Teodoro Maldonado Carbo with diagnosis of sepsis Results: 114 patients with sepsis were taken, Through the QSOFA we were able to identify that 48 male patients (42.1%) did not present sepsis criteria and 31 female patients (27.2%) of the total of this group did not meet sepsis criteria. Value p 0.8 Regarding the conditions at discharge, it was observed that 81 of these patients died, representing 71.1% of the total, while 33 patients did not die, representing 28.9% of the total. (table 11, illustration 9) Using the qsofa scale, it was found that 30.7% of 35 patients had a high probability of dying. Value p 0.407. Conclusions: The rate of efficacy of qsofa to determine mortality in patients at Teodoro Maldonado Carbo Hospital with sepsis was 30.7%. In the presence of comorbidity, a higher prevalence was observed in cardiovascular and endocrine diseases. The QSOFA score will need additional evaluation before it can be used routinely to predict mortality in any population with sepsis.