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Medicina crítica (Colegio Mexicano de Medicina Crítica)

versão impressa ISSN 2448-8909

Resumo

PEDRAZA OLIVARES, Freddy et al. 200 days of qSOFA, early detection of sepsis and risk reduction. Med. crít. (Col. Mex. Med. Crít.) [online]. 2017, vol.31, n.5, pp.265-267. ISSN 2448-8909.

Introduction:

When the quick Sepsis Related Organ Failure Assessment or qSOFA is used to activate a rapid response team the main goal is to detect in a early fashion those patients whose deterioration is secondary to sepsis and the rapid response teams are known as "sepsis team" or "code sepsis".

Methods:

We present the first 200 days of an early sepsis detection program using the latest recommendations. Patients admitted with a "no resuscitation" letter, terminal disease diagnosis and palliative care, were excluded from the study, also pediatric patients (< 18 years old) and obstetric diagnosis.

Results:

During the study period a total of 111 alerts were registered by the rapid response team using the qSOFA score. As well, 34 alerts for every 1,000 admissions. For every 6 assessments 1 patient benefited of being transferred immediately to the Intensive Care Unit; for an absolute risk reduction of 18.26% (95% confidence interval -16.47 a 52.99). For every 6 patients with risk data not detected 1 will die. For every 2 patients admitted to the rapid response program 1 was benefited by the established treatment.

Conclusion:

The present work shows that the use of the qSOFA score in our population resulted in the absolute risk reduction of mortality.

Palavras-chave : qSOFA; sepsis; rapid response.

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