DIAGNOSTIC VALIDITY OF SIRS VERSUS QSOFA IN SEPSIS IN EMERGENCY DEPARTMENT, AN OBSERVATIONAL STUDY

Background and Aim : Background Sepsis has a high mortality and morbidity. Screening scoringtools can help physician to diagnose it correctly and decrease the disease burden. Objective Tocompare the diagnostic validity of systemic inflammatory response syndrome (SIRS) versus QuickSequential Organ Failure Assessment (qSOFA) in suspected cases of sepsis in the emergencydepartment (ED).Methods : Methods This was an observational retrospective study on all patients suspected ofsuffering sepsis, that were referred to ED of a university hospital. Patients were initially diagnosedby an emergency physician. Their medical records were evaluated retrospectively for havingwhether SIRS or (qSOFA) scores. Scoring was extracted from patients’ files. The ultimate andgold standard diagnosis of sepsis was made by positive blood culture. Validity of the 2 scoringsystems were analyzed and compared.Results : Results 148 patients were enrolled in this study, 94 cases (63.5%) were males. The meanage of patients was 61.8 years old (95% CI 58.5 65.0). SIRS had a higher sensitivity (94.0%) andqSOFA a higher specificity (58.2%) in our study.Conclusion : Conclusions This study showed that SIRS had a high sensitivity yet qSOFA had ahigh specificity. In ED, SIRS found to be a better criterion for excluding patients suspected ofhaving sepsis. This study also recommended that qSOFA should be used in conjunction with SIRSto guide physicians to start the antibiotic treatment as early as possible for the most appropriatecases.

Keywords:

qSOFA , SIRS , Sepsis , Sensitivity , Specificity