by Marion Ferreira, Timothee Blin, Nived Collercandy, Piotr
Szychowiak, Pierre-François Dequin, Youenn Jouan and Antoine Guillon
Annals of Intensive Care ,
volume 10, Article number: 43 (2020)
The SEPSIS-3 definitions had facilitated earlier recognition
of patients at risk of developing sepsis for timely management [1]. The quickSOFA (qSOFA) has emerged as a
bedside clinical score to clinically categorize a septic patient. In
out-of-hospital, emergency department, or general hospital ward settings, adult
patients with suspected infection are likely to have poor outcomes typical of
sepsis if they have at least 2 of the qSOFA criteria: respiratory rate ≥ 22/min,
altered mentation, or systolic blood pressure ≤ 100 mmHg [1]. This definition has been subsequently
validated in the emergency department for patients with suspected infection:
for qSOFA ≤ 1 the mortality rate was 3% (95% CI 2–5%) vs 24% (95% CI
18–30%) for patients with a qSOFA ≥ 2 [2]. The severe acute respiratory syndrome
coronavirus-2 (SARS-CoV-2) that causes coronavirus disease 2019 (Covid-19) is a
game changer. Mass ICU care and ventilatory support are needed to treat
patients with Covid-19. Prompt and accurate clinical identification of
SARS-CoV-2-infected patients at risk to have poor outcomes is an utmost
priority. The aim of the study was to examine if the 2-point qSOFA threshold is
an appropriate bedside clinical score for Covid-19 patients…
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