Escala qSOFA para predicción de la mortalidad por trauma
Journal Title: Ciencia Ecuador - Year 2020, Vol 2, Issue 5
Abstract
ntroduction:On-scene mortality prediction is essential to ensure that all patients with severe trauma are transferred to trauma hospitals, while minimizing the unnecessary transport of less severely ill patients to these centers. Objective:Evaluate the discriminatory ability of qSOFA score for in-hospital mortality in trauma patients, in comparison with the RTS, T-RTS, MGAP and GAP scores. Methods:Retrospective single-center study using data from 504 patients ≥18 years of age with trauma attended by prehospital staff of the Marco Vinicio Iza General Hospital. The first take of the vital signs on the scene was included, to later establish each of the scores. We compared survivors and non-survivors using the t-test for continuous variables and the chi-square test for categorical variables. The accuracy of each score for predicting mortality was calculated using the area under the receiver operating characteristic curve (AUROC). Results:All scoring systems demonstrated from good to excellent accuracy in predicting in-hospital mortality, however, a better discrimination of the qSOFA score was evidenced with AUROC = 0.937 (95 % CI: 0.892-0.983). Conclusion:The prehospital qSOFA score was strongly associated with mortality in trauma patients. This high level of sensitivityand specificity suggests that the qSOFA score would be a very useful tool in prehospital care for trauma triage in our medium.
Authors and Affiliations
Alberto Ortega-Rosales; Gilda Romero-Ulloa; Carlos Burneo-Rosales; Ronald Romero-Ulloa; Anabel Paredes-Ponce; Mariela Rambay-Solorzano;
Keywords
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