Introduction:

Controversies are currently being revealed about the predictive score for the diagnosis of septic shock.

Objective:

To compare the effectiveness of the criteria of systemic inflammatory response syndrome and the quick SOFA score in the prediction of septic shock.

Methods:

A descriptive, longitudinal, prospective study was conducted in patients admitted to the intensive care unit at “Dr. Agostino Netoˮ Teaching General Hospital, from January 2018 to March 2019. Patients with suspected sepsis were studied. A random sample of 50 patients was selected: 25 met the criteria for Systemic Inflammatory Response Syndrome and 25 met the quick SOFA criteria. Those who developed septic shock during their stay in the intensive care unit were monitored.

Results:

The number of patients that fulfilled three or more criteria of the systemic inflammatory response syndrome, two or more quick SOFA score was higher (p <0.05). The fulfillment of three or more criteria of the systemic inflammatory response syndrome did not show significant differences with the fulfillment of two or more quick SOFA score (p = 0.08). However, significance was found when comparing if patients fulfilled three or more criteria of Systemic inflammatory response syndrome criteria and two or more quick SOFA score.

Conclusions:

The use of the systemic inflammatory response syndrome criteria allows a diagnostic approach of sepsis more frequent in adult patients hospitalized for infection compared to the quick SOFA score, but this allows a better prediction of mortality from septic shock.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )