Abstract
Introduction: One of the most important parts of severe community-acquired pneumonia (CAP) treatment is the proper hospitalization place choice. The new qSOFA score for sepsis evaluation could be an important instrument to prognose the ICU stay and mortality.
Aim. The aim was to investigate clinical value of qSOFA score in patients with severe CAP to determine proper hospitalization place.
Methods: 112 patients with severe CAP were examined in 3 training clinical hospitals in Chita in 2015-2016 years. The severity of CAP was assessed using Russian Respiratory Society (RRS) scale according to ERS recommendations. The qSOFA score was performed in all patients on admission retrospectively. For statistical analysis the x2 criteria, Fisher criteria and the odds ratio (OR) were used.
Results: Of all considered patients 76 (group I) had qSOFA points less than 2. 36 patients (group II) had qSOFA score points 2 or more.
In the group I 46 patients (60,5%) had to transfer to ICU in the first 24 hr. In the group II 34 patients (94,4%) were transferred to ICU. The differences between ICU admission frequency were significantly different in the considered groups (x2=13,77, p<0,01), the OR of ICU admission in qSOFA≥2 group was 11,09 [2,48; 49,61]. The patients from group II also had greater mortality and the duration of ICU stay.
Table1. qSOFA score points in severe CAP.
Conclusion:. New qSOFA score could be used not only in accessing sepsis to prognose clinical outcomes but also to choose a place of hospitalization in severe CAP.
- Copyright ©the authors 2017
