Quick sequential organ failure assessment scale for the prognosis of non-infected geriatric patient, Hospital Ángeles, Clínica Londres

Autores: Padilla García Raúl A, Aguilar Mena Cristina, Lazo Gómez Rafael E, Hernández Salcedo Daniel R, Valencia López Raúl

Resumen

Background: The quick sequential organ failure assessment (qSOFA) is a very sensitive scale for predicting mortality in patients with sepsis. There are a few studies that attempt to evaluate the qSOFA scale in geriatric patients without an infectious focus. Objective: To quantify the mortality of the non-infected geriatric patient, in the hospitalization area, intensive care unit (ICU), and Coronary ICU (CICU), at the Hospital Angeles Clínica Londres according to the qSOFA score. Methods: a retrospective observational cohort study was conducted, reviewing the clinical records of patients admitted to the Hospital Angeles Clinica Londres (HACL) from January 1, 2018 to March 31, 2018. Results: the clinical data of 240 patients were reviewed; of these, only 148 had sufficient information to be included. The primary outcome was presented in 9 patients (6.1%). This outcome was more common in patients with qSOFA ≥ 2 (8 [5.4%] vs. 1 [0.7%], p < 0.0001). The crude risk ratio was 61.6 (95% CI: 8.2, 463.1), with a negative predictive value of 99.2%. Conclusions: An increase in mortality was found in non-infected geriatric patients, in the hospitalization area, ICU and CICU, in the HACL that meet the qSOFA criteria ≥ 2.

Palabras clave: Sepsis quick sequential organ failure assessment septic shock mortality geriatric patient

2022-03-02   |   53 visitas   |   Evalua este artículo 0 valoraciones

Vol. 7 Núm.2. Julio-Diciembre 2021 Pags. 42-48 J Lat Am Geriatric Med 2021; 7(2)