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. 2017 Dec;45(6):893-896.
doi: 10.1007/s15010-017-1057-5. Epub 2017 Aug 7.

Application of the qSOFA score to predict mortality in patients with suspected infection in a resource-limited setting in Malawi

Michaëla A M Huson  1   2   3 , Chawezi Katete  4 , Lilian Chunda  4 , Jonathan Ngoma  4 , Claudia Wallrauch  4 , Tom Heller  4   5 , Tom van der Poll  6 , Martin P Grobusch  6   7
Affiliations

Application of the qSOFA score to predict mortality in patients with suspected infection in a resource-limited setting in Malawi

Michaëla A M Huson et al. Infection. 2017 Dec.

Abstract

Purpose: To determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection.

Methods: Prospective observational study in a tertiary referral hospital in Malawi.

Results: Predictive ability of qSOFA was reasonable [AUROC 0.73 (95% CI 0.68-0.78)], increasing to 0.77 (95% CI 0.72-0.82) when classifying all patients with altered mental status as high risk. Adding HIV status as a variable to the qSOFA score did not improve predictive value.

Conclusion: qSOFA is a simple tool that can aid risk stratification in resource-limited settings.

Keywords: HIV; Resource-limited setting; Sepsis; qSOFA.

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Conflict of interest statement

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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