Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: Moreira, J.
Data de Publicação: 2018
Outros Autores: Paixão, A., Oliveira, J., Jaló, W., Manuel, O., Rodrigues, R., Oliveira, A., Tinoco, L., Lima, J., Grinsztejn, Beatriz, Veloso, V. G., Japiassú, A. M., Lamas, C. C.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/30417
Resumo: Artigo encontra-se disponível para download no site do editor: https://www.sciencedirect.com/science/article/pii/S1198743X18305755
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spelling Moreira, J.Paixão, A.Oliveira, J.Jaló, W.Manuel, O.Rodrigues, R.Oliveira, A.Tinoco, L.Lima, J.Grinsztejn, BeatrizVeloso, V. G.Japiassú, A. M.Lamas, C. C.2018-12-07T13:04:16Z2018-12-07T13:04:16Z2019MOREIRA, J. et al. Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil. Clinical Microbiology and Infection, p. 1-3, Jan. 2019.1198-743Xhttps://www.arca.fiocruz.br/handle/icict/3041710.1016/j.cmi.2018.08.003Artigo encontra-se disponível para download no site do editor: https://www.sciencedirect.com/science/article/pii/S1198743X18305755Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Instituto Nacional de Cardiologia. Centro de Pesquisa Cardiovascular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Universidade do Grande Rio. Faculdade de Medicina. Rio de Janeiro, RJ, Brasil.Universidade do Grande Rio. Faculdade de Medicina. Rio de Janeiro, RJ, Brasil.Universidade do Grande Rio. Faculdade de Medicina. Rio de Janeiro, RJ, Brasil.Universidade do Grande Rio. Faculdade de Medicina. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Instituto Nacional de Cardiologia. Centro de Pesquisa Cardiovascular. Rio de Janeiro, RJ, Brasil / Universidade do Grande Rio. Faculdade de Medicina. Rio de Janeiro, RJ, Brasil.OBJECTIVES: To compare the discriminatory capacity of the quick sequential organ failure assessment (qSOFA) vs. the systemic inflammatory response syndrome (SIRS) score for predicting 30-day mortality and intensive care unit (ICU) admission in patients with suspicion of infection at an HIV reference centre. METHODS: We performed a prospective cohort study including consecutive adult patients who had suspected infection and who were subsequently admitted to the medical ward. Variables related to qSOFA and SIRS were measured at admission. The performance (area under the receiver operating curve, AUROC) of qSOFA (score ≥2) and SIRS (≥2 criteria) as a predictor of 30-day mortality and ICU admission was evaluated. RESULTS: One hundred seventy-three patients (mean ± standard deviation age, 42.6 ± 12.4 years) were included in the analysis; 107 (61.8%) were male, and 111 (64.2%) were HIV positive. Respiratory and gastrointestinal infections occurred in 49 (28.3%) and 23 (13.3%), respectively. The 30-day mortality rate was 9 (5.2%) of 173. The prognostic performance of qSOFA was similar compared to SIRS, with an AUROC of 0.68 (95% confidence interval, 0.55-0.81) and 0.69 (95% confidence interval, 0.53-0.86) (p 0.96). Twenty patients (11%) were admitted to the ICU; qSOFA and SIRS had a similar discriminatory capacity for ICU admission (AUROC 0.63 (95% confidence interval, 0.51-0.75) and 0.63 (95% confidence interval, 0.50-0.76)), respectively). CONCLUSIONS: We found a poor prognostic accuracy of the qSOFA to predict 30-day mortality in hospitalized patients suspected of infection in a setting with a high burden of HIV infection.engElsevierAccuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleIntensive care unitMortalitySIRSSepsisqSOFAinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/30417/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51TEXTAccuracy of quick_Valdilea_Veloso_INI_Lapclin-AIDS_2018.pdf.txtAccuracy of quick_Valdilea_Veloso_INI_Lapclin-AIDS_2018.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
title Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
spellingShingle Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
Moreira, J.
Intensive care unit
Mortality
SIRS
Sepsis
qSOFA
title_short Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
title_full Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
title_fullStr Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
title_full_unstemmed Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
title_sort Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil
author Moreira, J.
author_facet Moreira, J.
Paixão, A.
Oliveira, J.
Jaló, W.
Manuel, O.
Rodrigues, R.
Oliveira, A.
Tinoco, L.
Lima, J.
Grinsztejn, Beatriz
Veloso, V. G.
Japiassú, A. M.
Lamas, C. C.
author_role author
author2 Paixão, A.
Oliveira, J.
Jaló, W.
Manuel, O.
Rodrigues, R.
Oliveira, A.
Tinoco, L.
Lima, J.
Grinsztejn, Beatriz
Veloso, V. G.
Japiassú, A. M.
Lamas, C. C.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Moreira, J.
Paixão, A.
Oliveira, J.
Jaló, W.
Manuel, O.
Rodrigues, R.
Oliveira, A.
Tinoco, L.
Lima, J.
Grinsztejn, Beatriz
Veloso, V. G.
Japiassú, A. M.
Lamas, C. C.
dc.subject.en.pt_BR.fl_str_mv Intensive care unit
Mortality
SIRS
Sepsis
qSOFA
topic Intensive care unit
Mortality
SIRS
Sepsis
qSOFA
description Artigo encontra-se disponível para download no site do editor: https://www.sciencedirect.com/science/article/pii/S1198743X18305755
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-12-07T13:04:16Z
dc.date.available.fl_str_mv 2018-12-07T13:04:16Z
dc.date.issued.fl_str_mv 2019
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MOREIRA, J. et al. Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil. Clinical Microbiology and Infection, p. 1-3, Jan. 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/30417
dc.identifier.issn.pt_BR.fl_str_mv 1198-743X
dc.identifier.doi.none.fl_str_mv 10.1016/j.cmi.2018.08.003
identifier_str_mv MOREIRA, J. et al. Accuracy of quick sequential organ failure assessment score to predict mortality in hospitalized patients with suspected infection in an HIV/AIDS reference centre in Rio de Janeiro, Brazil. Clinical Microbiology and Infection, p. 1-3, Jan. 2019.
1198-743X
10.1016/j.cmi.2018.08.003
url https://www.arca.fiocruz.br/handle/icict/30417
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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