Predictive value of the quick Sequential Organ Failure Assessment Score (qSOFA) for in-hospital mortality in adult trauma patients

Abstract

Background: Recognizing and determining severe trauma is essential for choosing the appropriate treatment strategy. Objectives: The aim of this study was to find the predictive value of the quick sequential organ failure assessment (qSOFA) score for in-hospital mortality in adult trauma patients. Methods: This prospective observational study was conducted on adult patients with multiple trauma presenting to the emergency department. The qSOFA score was calculated according to the initially recorded variables. The primary outcome was in-hospital mortality. The predictive value of qSOFA was evaluated using the Area Under Receiver Operating Characteristic (AUC) analysis. Results: Finally, 775 multiple trauma patients with a mean age of 38.68±18.74 were admitted. Of these, 34 people (4.39%) died and 741 subjects were discharged from hospital. The mean qSOFA score was 0.41±0.64, significantly higher in the survived patients than in the non-survived patients (P < 0.001). The AUC of qSOFA score to predict in-hospital mortality was 0.878 (95% confidence interval: 0.853-0.900); thus, qSOFA was a good predictor of in-hospital mortality in multiple trauma patients. Conclusion: The qSOFA score can be considered a simple and rapid screening tool for identifying multiple-trauma patients.

Keywords

• emergency department
• injuries
• scoring systems
• outcome
• mortality