학술논문
Prognostic evaluation of quick sequential organ failure assessment score in ICU patients with sepsis across different income settings
intensive care units
intensive care units
Document Type
Report
Author
Li, Andrew; Ling, Lowell; Qin, Hanyu; Arabi, Yaseen M.; Myatra, Sheila Nainan; Egi, Moritoki; Kim, Je Hyeong; Nor, Mohd Basri Mat; Son, Do Ngoc; Fang, Wen-Feng; Wahyuprajitno, Bambang; Hashmi, Madiha; Faruq, Mohammad Omar; Patjanasoontorn, Boonsong; Al Bahrani, Maher Jaffer; Shrestha, Babu Raja; Shrestha, Ujma; Nafees, Khalid Mahmood Khan; Sann, Kyi Kyi; Palo, Jose Emmanuel M.; Mendsaikhan, Naranpurev; Konkayev, Aidos; Detleuxay, Khamsay; Chan, Yiong Huak; Du, Bin; Divatia, Jigeeshu Vasishtha; Koh, Younsuck; Phua, Jason; Mallick, Uzzal Kumar; Islam, Motiul; Hamid, Tarequl; Islam, A. K. M. Shirazul; Halim, Rabiul; Khan, Md Arifur Rahman; Asaduzzaman, Mohammad; Karim, Md Rezaul; Sarwar, Nahim; Milon, Shamsul Hoque; Mahmud, Rashed; Hirok, A. K. M. Sirajul Islam; Haque, Ashraful; Sultana, Amina; Shajal, Mir Atiqur Rahman; Andalib, Farha; Hasan, Rashedul; Dhansukhlal, Shah Sudhirchandra; Li, Ning; Liu, Xiaowei; Yang, Haiwei; Hou, Ming; Li, Ying; Zhang, Jian; Huang, Lifeng; Li, Wenxiong; Duan, Meili; Liu, Taotao; He, Wei; Ning, Fangyu; Wang, Xiaozhi; Zhou, Xiaoyan; Yu, Sun; Xiang, Xiang; Pan, Liang; Zhou, Feihu; Wang, Yaoli; Zhou, Jian; Wang, Tao; Yang, Xuefei; Ma, Yu; Song, Xuan; Wu, Haiying; Qian, Chuanyun; Zhou, Lixin; Xu, Zuohang; Zhang, Kun; Hu, Zhenjie; Lin, Xingsheng; Shi, Songjing; Zhang, Xiaoguang; Yu, Rongguo; Zhang, Liqin; Yuan, Yuan; Zhou, Huiru; Wang, Xiandong; Wang, Zhonghua; Qin, Tiehe; Shi, Xianqing; Li, Rui; He, Zhenyang; Zuo, Xiangrong; Cao, Quan; He, Tao; Sui, Yuanda; Wu, Tiejun; Xu, Ying; Gu, Qin; Shuai, Weizheng; Qiao, Hong; Li, Shuangling; Dong, Guiying; Zhao, Xiujuan; Zhu, Fengxue; Wang, Junshi; Huang, Lei; Wang, Tianchang; Wang, Hao; Ma, Siqing; Yang, Zhengping; Gao, Yuan; Tan, Ruoming; Xie, Yun; Wang, Ruilan; Jia, Jia; Zang, Bin; Wang, Jun; Lin, Ling; Wu, Yuwen; Wu, Yunfu; Ma, Penglin; Li, Yanfang; Yu, Li; Guo, Rui; Zhang, Jiuzhi; Wan, Xianyao; Shen, Feng; Shi, Qindong; Xu, Jun; Fang, Qiang; Liu, Shaohua; Sun, Tongwen; Zeng, Mian; Pan, Weiyun; Liu, Zhongmin; Lin, Qingling; Wang, Nan; Pang, Jing; Xiong, Bin; Wen, Deliang; Kang, Fuxin; Chang, Liuhui; Sun, Yun; Zhang, Jingxiao; Yin, Yongjie; Qing, Liu; Sun, Jiajun; Li, Nahui; Wang, Yongqiang; Shou, Songtao; Chai, Yanfen; Xu, Lei; Yang, Xiaobo; Liao, Xuelian; Kang, Xian; Zhao, Shuangping; Huang, Liquan; Zhang, Run; Sun, Renhua; Shen, Chao; He, Yan; Chow, Fu Loi; Tang, Michele; Lam, Philip; Cham, Esther; Tang, Kin Bong; Dharmangadan, Manimala; Ng, Pauline Yeung; Ling, Kin Ho; Lau, Vincent; Sahu, Samir; Chatterjee, Sharmila; Basu, Sushmita; Mohamed, Zubair Umer; Sirga, Sudeep; Kasireddy, Siddhartha Reddy; Aleem, M. A.; Kuragayala, Swarna Deepak; Haranath, Sai Praveen; Ramakrishnan, Nagarajan; Amin, Pravin; Mascarenhas, Joanne; Dash, Radhika; Kola, Venkat Raman; Vaidyanathan, R.; Agarwal, Siddharth; Bhattacharya, Pradip K.; Jeswani, Deepak; Gautam, Parshotum Lal; Ansari, Abdul Samad; Nangia, Vivek; Sircar, Mrinal; Balasubramani, V. M.; Maneendra, S.; Mishra, Sanghamitra; Kumar, Anjeev; Chawla, Rajesh; Sequeira, Trevor Francis; Shrivastava, Om Prakash; Sreevalsan, T. V.; Shetty, Rajesh Mohan; Thimmappa, Manjunath; Harish, M. M.; Mehta, Yatin; Saxena, Divya; Mishra, Vipul; Kumar, Rishi; Jha, Simnt Kumar; Sakhavalkar, Prashant; Diwane, Dnyaneshwar; Dixit, Subhal; Pattnaik, Manoranjan; Singh, Lalit; Khan, Fareed; Shah, Mehul; Joshi, Ziokov; Myatra, Sheila Ninan; Gorade, Manoj; Jagiasi, Bharat G.; Hartalkar, Amol; Prusty, B. Saroj Kumar; Winata, Ade; Wijaya, Surya Oto; Prihartini, Hermin; Hutajulu, Shinta V. R.; Manalu, Rudy; Sumartono, Christrijogo; Albandjar, Chrisma Adryana; Pitaloka, Ira; Kusumawati, Dewi; Jufan, Akhmad Yun; Semedi, Bambang Pujo; Silalahi, Vanessy Theodora; Pradian, Erwin; Hanafie, Achsanuddin; Fitriati, Mariza; Maskoen, Tinni Trihartini; Abadi, Satriawan; Wisudarti, Calcarina Fitriani Retno; Arifin, Johan; Sudjud, Reza Widyanto; Airlangga, Prananda Surya; Wiryana, I. Made; Achmadi, Anang; Harly, Patra Rijalul; Kusuma, Edward; Wibowo, Primartanto; HY, Ade Veronica; Mandang, Jeni Sarah; Aryabiantara, I. Wayan; Muchtar, Faisal; Isa, Fachrul Jamal; Aditianingsiih, Dita; Simamora, Nicolaas Parningotan; Hasyim, Moch.; Manuaba, I. Gusti Putu; Anggraeni, Novita; Sanoesi, Rudy Ariyanto; Munandar, Arief; Siahaan, Duma Saurma; Rachmawati, Sri; Susianto, Oky; Kahar, Liliriawati Ananta; Laihad, Mordekhai Leopold; Takaaki, Nakada; Hara, Yoshitaka; Nishida, Osamu; Uehara, Kenji; Takatori, Makoto; Ohshimo, Shinichiro; Kikutani, Kazuya; Shime, Nobuaki; Nunomiya, Shin; Katayama, Shinshu; Atari, Bengo; Ito, Takashi; Kakihana, Yasuyuki; Takimoto, Kohei; Yanai, Machi; Yatabe, Tomoaki; Kishiara, Yuki; Higashijima, Ushio; Sekino, Motohiro; Atagi, Kazuaki; Ogura, Hiroshi; Matsubara, Tsunehiro; Kamio, Tadashi; Fujitani, Shigeki; Yoshida, Toru; Aoyagi, Yukari; Uchino, Shigehiko; Hasegawa, Masatsugu; Oto, Jun; Yamaguchi, Naoki; Enomoto, Yuki; Nakane, Masaki; Amirova, G. S.; Daribaev, Murat; Evgenievich, Markov Viktor; Vorobiev, A. A.; Andrushenko, A. V.; Torpakbaeva, Aliya; Konkayeva, M. E.; Galkin, A. V.; Ostanin, P. A.; Samat, Noryani Mohd; Tan, Ismail; Ismail, Nahla Irtiza; Lim, Chew Har; Ismail, Wan Nasrudin Wan; Sulaiman, Siti Rohayah; Alias, Anita; Wen, Joanne Tiong Jia; Rahim, Azmin Huda Abdul; Zainudin, Asmah; Adib, Nik Azman Nik; Abdullah, Zihni; Mazlan, Mohd Zulfakar; Tun, Cho Myint; Maw, Thinzar; Cho, Cho; Sein, Han; Win, Myo Malar; Hnin, Lwin Lwin; Lwin, Cho Cho; Mon, Aye Su; Thein, Yi Sandar; Le Le Yi, Khin; Naing, Myo Min; May, Nu Nu; Naing, Lun; Aung, Khin Saw Yu; Lin, Moe Thu; Kyi, Aung; Tun, Kyaw Min Min; Khin, Suu New; Yi, Khin Pyone; Waan, Khin May; Thidar, Moe; Naing, Mu Mu; Mar, Win Win; Lin, Naing Naing; Rajbanshi, Lalit; Limbu, Trishant; Shrestha, Baburaja; Shrestha, Ashish; Pradhan, Rosi; Shrestha, Ravi Ram; Acharya, Sulav; Shrestha, Pramesh Sunder; Karki, Puja Thapa; Awladthani, Moosa; Paul, Jacob; Al Badi, Nadia; Al Kharusi, Adil; Al Kharousi, Khalil; Kantor, Sandeep; John, Yohannan; Al Mandhari, Said; Jacob, Geetha; Esmat, Amr Muhammad; Shetty, B. M. J.; Mostafa, Ahmed; Rashid, Naveed Haroon; Sohaib, Muhammad; Joseph, Sonia; Zafar, Safia; Farooq, Ahmed; Ashraf, Muhammad Sheharyar; Hussain, Tanveer; Hayat, Muhammad; Rehman, Ataur; Ali, Syed Muneeb; Rehman, Saad ur; Kumar, Ashok; Hernandez, Aaron; Aperocho, Crystal; Resurreccion, Raymundo; Noblezada-Uy, Debbie; Palo, Jose Emmanuel; Visperas, Julie; Asiri, Amer; Beshabshi, Ali; Al-Hameed, Fahad; Al Orabi, Ohoud; Arabi, Yaseen; Al Qasim, Eman; Iqbal, Masood; Aisa, Tharwat; Al Shahrani, Mohammed Saeed; Asonto, Laila; Kharaba, Ayman; al Mutairi, Abdullah; Al Ghamdi, Khaild; Hefni, Lama; Al Qurashi, Ahmad; Al Makhlafi, Galeb; Gokhale, Roshni Sadashiv; Lim, Noelle; Pawar, Manjit; Kumaresh, Venkatesan; Hock, Naville Chia Chi; Keat, Tan Chee; An, Tan Rou; De Souza, Jared; Seng, Yip Hwee; YH, Addy Tan; Kiang, Melvin Tay Chee; Yi, Ng Shin; Kian, Ho Vui; Sharma, Kiran; Lew, Sennen; Min, Lee Rui; Kim, Do Wan; Shin, Yoon Mi; Lee, Song-I.; Kim, Kyung Chan; Kang, Yun-Seong; Lee, Soo Hwan; Kim, Ho Cheol; Sim, Yun Su; Park, Sunghoon; Park, Tai Sun; Lee, Hongyeul; Chang, Youjin; Lee, Heung Bum; Lee, Young Seok; Kwack, Won Gun; Kim, In Byung; Park, Tae Yun; Cho, Young Jae; Lee, Sang-Min; Jeon, Kyeongman; Lee, Jongmin; Kim, Shin Young; Huh, Jin-Won; Ahn, Jong Joon; Cho, Jae Hwa; Lee, Won-Yeon; Lin, Chin-Kuo; Chu, Chang-Ke; Wu, Jiun-Ting; Lin, Chiung-Yu; Chen, Yu-Mu; Huang, Kuo-Tung; Hu, Han-Chung; Cia, Cong-tat; Chien, Jung-Yien; Huang, Chun-Te; Fu, Pin-Kuei; Srisawas, Nattachai; Kongwibulwut, Manasnun; Chittawatanarat, Kaweesak; Daewtrakulchai, Worapot; Phunmanee, Anakapong; Panitchote, Anupol; Sawawiboon, Chaiwut; Trung, Lê Minh; SÆ¡n, Äá» Ngá»c; Hà, B. S. Bùi Nháºt; PhÆ°á»c, DÆ°Æ¡ng Thiá»n; Äại, Huỳnh Quang; Hùng, Nguyá»n Tấn; Thúy, Lê Thá» PhÆ°Æ¡ng; Hải, Hoàng Bùi; Quá»c, Hoàng Trá»ng Ãi; Linh, Trần Hoài; Yến, VÅ© Hải; Giang, Phạm Trà; Ngà, Nguyá»n Thá»; Tuân, Nguyá»n ÄÄng
Source
Critical Care. January 23, 2024, Vol. 28 Issue 1
Subject
Language
English
ISSN
1364-8535
Abstract
Author(s): Andrew Li[sup.1] , Lowell Ling[sup.2] , Hanyu Qin[sup.3] , Yaseen M. Arabi[sup.4] , Sheila Nainan Myatra[sup.5] , Moritoki Egi[sup.6] , Je Hyeong Kim[sup.7] , Mohd Basri Mat Nor[sup.8] , [...]
Background There is conflicting evidence on association between quick sequential organ failure assessment (qSOFA) and sepsis mortality in ICU patients. The primary aim of this study was to determine the association between qSOFA and 28-day mortality in ICU patients admitted for sepsis. Association of qSOFA with early (3-day), medium (28-day), late (90-day) mortality was assessed in low and lower middle income (LLMIC), upper middle income (UMIC) and high income (HIC) countries/regions. Methods This was a secondary analysis of the MOSAICS II study, an international prospective observational study on sepsis epidemiology in Asian ICUs. Associations between qSOFA at ICU admission and mortality were separately assessed in LLMIC, UMIC and HIC countries/regions. Modified Poisson regression was used to determine the adjusted relative risk (RR) of qSOFA score on mortality at 28 days with adjustments for confounders identified in the MOSAICS II study. Results Among the MOSAICS II study cohort of 4980 patients, 4826 patients from 343 ICUs and 22 countries were included in this secondary analysis. Higher qSOFA was associated with increasing 28-day mortality, but this was only observed in LLMIC (p < 0.001) and UMIC (p < 0.001) and not HIC (p = 0.220) countries/regions. Similarly, higher 90-day mortality was associated with increased qSOFA in LLMIC (p < 0.001) and UMIC (p < 0.001) only. In contrast, higher 3-day mortality with increasing qSOFA score was observed across all income countries/regions (p < 0.001). Multivariate analysis showed that qSOFA remained associated with 28-day mortality (adjusted RR 1.09 (1.00-1.18), p = 0.038) even after adjustments for covariates including APACHE II, SOFA, income country/region and administration of antibiotics within 3 h. Conclusions qSOFA was independently associated with 28-day mortality in ICU patients admitted for sepsis. In LLMIC and UMIC countries/regions, qSOFA was associated with early to late mortality but only early mortality in HIC countries/regions. Graphical Abstract Keywords: qSOFA, APACHE, Prediction, Critical care, Infection, Mortality
Background There is conflicting evidence on association between quick sequential organ failure assessment (qSOFA) and sepsis mortality in ICU patients. The primary aim of this study was to determine the association between qSOFA and 28-day mortality in ICU patients admitted for sepsis. Association of qSOFA with early (3-day), medium (28-day), late (90-day) mortality was assessed in low and lower middle income (LLMIC), upper middle income (UMIC) and high income (HIC) countries/regions. Methods This was a secondary analysis of the MOSAICS II study, an international prospective observational study on sepsis epidemiology in Asian ICUs. Associations between qSOFA at ICU admission and mortality were separately assessed in LLMIC, UMIC and HIC countries/regions. Modified Poisson regression was used to determine the adjusted relative risk (RR) of qSOFA score on mortality at 28 days with adjustments for confounders identified in the MOSAICS II study. Results Among the MOSAICS II study cohort of 4980 patients, 4826 patients from 343 ICUs and 22 countries were included in this secondary analysis. Higher qSOFA was associated with increasing 28-day mortality, but this was only observed in LLMIC (p < 0.001) and UMIC (p < 0.001) and not HIC (p = 0.220) countries/regions. Similarly, higher 90-day mortality was associated with increased qSOFA in LLMIC (p < 0.001) and UMIC (p < 0.001) only. In contrast, higher 3-day mortality with increasing qSOFA score was observed across all income countries/regions (p < 0.001). Multivariate analysis showed that qSOFA remained associated with 28-day mortality (adjusted RR 1.09 (1.00-1.18), p = 0.038) even after adjustments for covariates including APACHE II, SOFA, income country/region and administration of antibiotics within 3 h. Conclusions qSOFA was independently associated with 28-day mortality in ICU patients admitted for sepsis. In LLMIC and UMIC countries/regions, qSOFA was associated with early to late mortality but only early mortality in HIC countries/regions. Graphical Abstract Keywords: qSOFA, APACHE, Prediction, Critical care, Infection, Mortality