Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity Score
Purpose To evaluate the severity of trauma, many scoring systems and predictive models have been presented. The quick Sequential Organ Failure Assessment (qSOFA) is a simple scoring system based on vital signs, and we expect it to be easier to apply to trauma patients than other trauma assessment to...
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| Format: | Article |
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Korean Society of Traumatology
2021-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0048.pdf |
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| author | Min Woo Kang Seo Young Ko Sung Wook Song Woo Jeong Kim Young Joon Kang Kyeong Won Kang Hyun Soo Park Chang Bae Park Jeong Ho Kang Ji Hwan Bu Sung Kgun Lee |
| author_facet | Min Woo Kang Seo Young Ko Sung Wook Song Woo Jeong Kim Young Joon Kang Kyeong Won Kang Hyun Soo Park Chang Bae Park Jeong Ho Kang Ji Hwan Bu Sung Kgun Lee |
| author_sort | Min Woo Kang |
| collection | DOAJ |
| description | Purpose To evaluate the severity of trauma, many scoring systems and predictive models have been presented. The quick Sequential Organ Failure Assessment (qSOFA) is a simple scoring system based on vital signs, and we expect it to be easier to apply to trauma patients than other trauma assessment tools. Methods This study was a cross-sectional study of trauma patients who visited the emergency department of Jeju National University Hospital. We excluded patients under the age of 18 years and unknown outcomes. We calculated the qSOFA, the Modified Early Warning Score (mEWS), Revised Trauma Score (RTS), and Injury Severity Score (ISS) based on patients’ initial vital signs and assessments performed in the emergency department (ED). The primary outcome was mortality within 14 days of trauma. We analyzed qSOFA scores using multivariate logistic regression analysis and compared the predictive accuracy of these scoring systems using the area under the receiver operating characteristic curve (AUROC). Results In total, 27,764 patients were analyzed. In the multivariate logistic regression analysis of the qSOFA, the adjusted odds ratios with 95% confidence interval (CI) for mortality relative to a qSOFA score of 0 were 27.82 (13.63–56.79) for a qSOFA score of 1, 373.31 (183.47–759.57) for a qSOFA score of 2, and 494.07 (143.75–1698.15) for a qSOFA score of 3. In the receiver operating characteristic (ROC) curve analysis for the qSOFA, mEWS, ISS, and RTS in predicting the outcomes, for mortality, the AUROC for the qSOFA (AUROC [95% CI]; 0.912 [0.871–0.952]) was significantly greater than those for the ISS (0.700 [0.608–0.793]) and RTS (0.160 [0.108–0.211]). Conclusions The qSOFA was useful for predicting the prognosis of trauma patients evaluated in the ED. |
| format | Article |
| id | doaj-art-f30017bac1334fb783826b57858473fa |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-f30017bac1334fb783826b57858473fa2025-02-03T11:12:23ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832021-03-0134131210.20408/jti.2020.00481048Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity ScoreMin Woo Kang0Seo Young Ko1Sung Wook Song2Woo Jeong Kim3Young Joon Kang4Kyeong Won Kang5Hyun Soo Park6Chang Bae Park7Jeong Ho Kang8Ji Hwan Bu9Sung Kgun Lee10 Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, KoreaPurpose To evaluate the severity of trauma, many scoring systems and predictive models have been presented. The quick Sequential Organ Failure Assessment (qSOFA) is a simple scoring system based on vital signs, and we expect it to be easier to apply to trauma patients than other trauma assessment tools. Methods This study was a cross-sectional study of trauma patients who visited the emergency department of Jeju National University Hospital. We excluded patients under the age of 18 years and unknown outcomes. We calculated the qSOFA, the Modified Early Warning Score (mEWS), Revised Trauma Score (RTS), and Injury Severity Score (ISS) based on patients’ initial vital signs and assessments performed in the emergency department (ED). The primary outcome was mortality within 14 days of trauma. We analyzed qSOFA scores using multivariate logistic regression analysis and compared the predictive accuracy of these scoring systems using the area under the receiver operating characteristic curve (AUROC). Results In total, 27,764 patients were analyzed. In the multivariate logistic regression analysis of the qSOFA, the adjusted odds ratios with 95% confidence interval (CI) for mortality relative to a qSOFA score of 0 were 27.82 (13.63–56.79) for a qSOFA score of 1, 373.31 (183.47–759.57) for a qSOFA score of 2, and 494.07 (143.75–1698.15) for a qSOFA score of 3. In the receiver operating characteristic (ROC) curve analysis for the qSOFA, mEWS, ISS, and RTS in predicting the outcomes, for mortality, the AUROC for the qSOFA (AUROC [95% CI]; 0.912 [0.871–0.952]) was significantly greater than those for the ISS (0.700 [0.608–0.793]) and RTS (0.160 [0.108–0.211]). Conclusions The qSOFA was useful for predicting the prognosis of trauma patients evaluated in the ED.http://www.jtraumainj.org/upload/pdf/jti-2020-0048.pdftrauma severity indicessequential organ failure assessment scoresmortalityemergency medicine |
| spellingShingle | Min Woo Kang Seo Young Ko Sung Wook Song Woo Jeong Kim Young Joon Kang Kyeong Won Kang Hyun Soo Park Chang Bae Park Jeong Ho Kang Ji Hwan Bu Sung Kgun Lee Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity Score Journal of Trauma and Injury trauma severity indices sequential organ failure assessment scores mortality emergency medicine |
| title | Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity Score |
| title_full | Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity Score |
| title_fullStr | Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity Score |
| title_full_unstemmed | Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity Score |
| title_short | Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Outcomes Among Patients with Trauma in the Emergency Department: A Comparison with the Modified Early Warning Score, Revised Trauma Score, and Injury Severity Score |
| title_sort | prognostic accuracy of the quick sequential organ failure assessment for outcomes among patients with trauma in the emergency department a comparison with the modified early warning score revised trauma score and injury severity score |
| topic | trauma severity indices sequential organ failure assessment scores mortality emergency medicine |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0048.pdf |
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