Quick Sequential Organ Failure Assessment Score in Recognizing Infected
Patients with Organ Dysfunction & Prediction of Mortality: Cohort study
Abstract
Background: puerperal sepsis is a common cause of maternal mortality
worldwide. Quick Sequential Organ Failure Assessment (q-SOFA) is a
bedside tool which is composed of three components: respiratory rate,
systolic blood pressure and level of consciousness, A score of ≥ 2
indicates that the patient is having sepsis & at risk of poor outcome.
Objectives: To calculate the q-SOFA for postpartum patients admitted
with infection and to correlate this with critical care unit admission
& patient outcome. Methods: An observational, prospective cohort
hospital-based study. It was conducted in Omdurman Maternity Hospital
from October 2018-to March 2019. The study included 59 postpartum
patients who were diagnosed with postpartum infection; their q-SOFA
score was calculated on admission and then on daily basis, to detect
their in-hospital mortality and morbidity. The data was analyzed using
SPSS, using Pearson Chi-square which was significant at P value of 0.05.
Results: Fifty-nine participants were involved, mean age was
28years.Those who delivered by cesarean section was 54.3%, 33(55.9%)
developed surgical site infection. Five patients (8.5%) died and 54
(91.5%) discharged. 17(28.8%) were admitted to critical care unit.
q-SOFA score was calculated & correlated to critical care unit
admission & fate of the patient using Pearson Chi-square which was
found to be significant 0.01 and 0.001, respectively (P value of
0.05).Conclusion: q-SOFA is a useful tool in detecting infected patients
at risk of poor outcome and death. If the score ≥2 patients need to be,
admitted to critical care unit