Utility of Sequential Organ Failure Assessment score in predicting bacteremia in critically ill burn patients

We evaluated whether qSOFA ≥2 and an increase in SOFA (ΔSOFA) ≥2 can help predict bacteremia in a critically ill burn population. Patients age ≥15 and TBSA ≥15% admitted between 2009 and 2015 were included. All blood cultures were recorded, and positive and negative blood culture days were defined b...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2018-03, Vol.215 (3), p.478-481
Main Authors: Ladhani, Husayn A., Sajankila, Nitin, Zosa, Brenda M., He, Jack C., Yowler, Charles J., Brandt, Christopher, Claridge, Jeffrey A., Khandelwal, Anjay K.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Bacteremia
Bacteremia - diagnosis
Bacteremia - etiology
Blood
Blood culture
Burn
Burn patients
Burns
Burns - complications
Cardiac arrhythmia
Critical Illness
Culture
Female
Gram-Negative Bacterial Infections - diagnosis
Gram-Negative Bacterial Infections - etiology
Gram-Positive Bacterial Infections - diagnosis
Gram-Positive Bacterial Infections - etiology
Hospitalization
Humans
Infections
Intensive care
Laboratories
Male
Middle Aged
Mortality
Organ Dysfunction Scores
Patients
Prognosis
Respiration
Retrospective Studies
Sensitivity and Specificity
Sepsis
Sequential Organ Failure Assessment
Urine
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We evaluated whether qSOFA ≥2 and an increase in SOFA (ΔSOFA) ≥2 can help predict bacteremia in a critically ill burn population. Patients age ≥15 and TBSA ≥15% admitted between 2009 and 2015 were included. All blood cultures were recorded, and positive and negative blood culture days were defined based on the culture results. SOFA and qSOFA scores were compared between positive and negative blood culture days. There were 50 patients in our study with a mean age of 47yrs and mean TBSA burn of 37%. Bacteremic patients had larger TBSA and full thickness burns, higher revised Baux score, and longer hospital LOS, without a difference in mortality, compared to non-bacteremic patients. There was no difference in qSOFA and SOFA scores between positive and negative blood culture days. A ΔSOFA ≥5 was highly specific for positive blood culture days. SOFA and qSOFA have limited ability to predict bacteremia in critically ill burn patients. •The utility of SOFA and quick SOFA scores in predicting bacteremia is unknown.•We found no correlation between SOFA or qSOFA scores and positive blood culture days.•These scoring systems may not be useful for predicting bacteremia in burn ICU.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2017.09.034