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Title: Frequency and significance of a qSOFA criteria during adult rapid response team reviews: a prospective cohort study
Austin Authors: Le Guen, Maurice C;Ballueer, Yvonne;McKay, Richard;Eastwood, Glenn M ;Bellomo, Rinaldo ;Jones, Daryl A 
Affiliation: Alfred Hospital, Melbourne, Victoria, Australia
Department of Intensive Care, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Jan-2018
Date: 2017-11-11
Publication information: Resuscitation 2017; 122: 13-18
Abstract: AIM: A new definition of sepsis released by an international task-force has introduced the concept of quick Sequential (Sepsis-Related) Organ Failure Assessment (qSOFA). This study aimed to measure the proportion of patients who fulfilled qSOFA criteria during a Rapid Response Team (RRT) review and to assess their associated outcomes. METHODS: We conducted a prospective study of adult RRT reviews over a one month period between 6th June and 10th July 2016 in a large tertiary hospital in Melbourne Australia RESULTS: Over a one-month period, there were 282 RRT reviews, 258 of which were included. One hundred out of 258 (38.8%) RRT review patients fulfilled qSOFA criteria. qSOFA positive patients were more likely to be admitted to the intensive care unit (29% vs 18%, P=0.04), to have repeat RRT reviews (27% vs 13%; p=0.007) and die in hospital (31% vs 10%, P <0.001). qSOFA positive patients with suspected infection were more likely to be admitted to the intensive care unit compared to patients with infection alone (37% vs 15%, P=0.002). Eleven of 42 patients (26%) who had infection and qSOFA died whilst in hospital, compared to 8/55 (15%) of patients with infection alone (P=0.2). CONCLUSION: Adult patients who are qSOFA positive at the time of their RRT review are at increased risk of in-hospital mortality. The assessment of qSOFA may be a useful triage tool during a RRT review.
DOI: 10.1016/j.resuscitation.2017.11.036
ORCID: 0000-0002-1650-8939
Journal: Resuscitation
PubMed URL:
Type: Journal Article
Subjects: RRT call
Appears in Collections:Journal articles

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