A COMPARATIVE STUDY OF q SOFA(Quick SOFA) SCORE AGAINST SIRS CRITERION AS A PROGNOSTIC TOOL IN INFECTED PATIENTS REQUIRING EMERGENCY ADMISSION.

Abstract

INTRODUCTION: Sepsis, a syndrome of physiological, pathological, and biochemical abnormalities induced by infection and is dened as lifethreatening organ dysfunction that is caused by a dysregulated host response to infection (11).It is a common cause of admission to the ICU and can lead to multiple organ dysfunction syndrome and death (12). It is essential to differentiate sepsis from uncomplicated infection because sepsis is associated with poor outcomes (13). Early recognition of sepsis can improve outcome of these patients through corresponding interventions (13). However because sepsis is a complex,heterogeneous,disease it is often difcult for clinician to promptly identify patient with sepsis. The qSOFAhas merit according to its proponents. It is simple (consisting of three clinical elements ,namely hypotension , tachypnoea , and altered consciousness), it can be easily and repeatedly assessed , it was generated through a data driven approach ,and in a large retrospective study, it was more accurate than SIRS for predicting death and ICU transfer of patient with suspected sepsis outside the ICU. (16, 17, 18). MATERIALAND METHODS: This study was a single centre observational prospective study conducted in Surgery emergency (department of surgery) Nehru hospital, BRD Medical College, Gorakhpur for a period of 12 months. CONCLUSION: Identication of ED patients with infection who ultimately survive but are in the need for early critical care intervention may be helpful in minimising in hospital mortality. qSOFAand SIRS scores can be useful clinical tools in decision making in emergency department.