Abstract

The present study was conducted to evaluate the association between QSOFA score with measures of clinical outcome in patients with suspected infections admitted to ICU. Methods: The Observational Prospective Study was conducted among 60 adults of age greater than or equal to 18 years admitted to Justice K.S Hegde Hospital in Medical ICU with suspected infections. The study population was stratified based on the presence or absence of confirmed or suspected infection. Results: There were 40 males and 60 females in the present study. 26 patients had ventilator support. A maximum of the patients stayed in 2 days in hospital followed by 3 days in hospital. In the present study, the majority of the patients qSOFA score of 3 followed by a qSOFA score of 2. 36 patients had vasopressor therapy and 24 patients had in-hospital mortality. The group statistics of qSOFA score with vasopressor therapy, in-hospital mortality, bad prognosis, and ventilator support did not show significant results. Conclusion: P value was significantly lower in all outcome groups of mortality; ICU stay and vasopressor requirement stating the significance of Qsofa in predicting bad outcomes. The sensitivity of this measurement was found to be 75 percent with a specificity of 85 percent which is of high standards. PPV of Qsofa score was 80 percent with NPV was 81 percent with an accuracy rate of 81 percent which was not expected. Overall, the study proves that this simple assessment tool assessable even to a paramedic is of immense value in the prognostication of a bad outcome.

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