Atatürk Üniversitesi Atatürk Üniversitesi
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Makale Tam Makale Uluslararası 2021 Açık erişimli

The evaluation of sepsis in the emergency department and its association with mortality

Fatma Kesmez Can, Erdal Tekin, Abdullah Can, Handan Alay, Aysun Aras

JOURNAL OF HEALTH SCIENCES AND MEDICINE Cilt 4 · Sayı 5 · ss. 741–745 · 01.09.2021
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Özet

ABSTRACT

Aim: Sepsis is a life-threatening organ dysfunction accompanied by a dysregulated host response to infection. Patients with

sepsis may present with different clinical manifestations, and there is no gold standard diagnostic test. Early diagnosis and

rapid treatment result in a decrease in sepsis-related deaths. Quick Sequential Organ Failure Assessment (qSOFA) is a scoring

system used in diagnosing sepsis through a rapid evaluation at the time of initial presentation. The purpose of this study was

to evaluate the relationship between qSOFA scores and mortality in patients presenting to the emergency department with

suspected sepsis.

Material and Method: Seventy patients presenting to the Atatürk University Medical Faculty Emergency Department and

commencing treatment with a preliminary diagnosis of sepsis between 01.12.2019 and 01.06.2020 were included in the research.

Patients’ qSOFA scores were calculated, and their demographic data, infection parameters and foci, the clinics to which they

were admitted, and outcomes were recorded. The data were analyzed, and the relationships between qSOFA classifications and

other infection parameters (CRP, procalcitonin, and lactate) and mortality were examined.

Results: Seventy percent (n=49) of the 70 patients in the study were discharged, while 30% (n=21) were exitus. A statistically

significant relationship was present between qSOFA scores and mortality (p<0.001). CRP was also significantly related to

qSOFA (p=0.003). Significant relationships were determined between CRP, procalcitonin and lactate and mortality (p=0.009,

p<0.001, and p=0.009, respectively).

Conclusion: The use of qSOFA scores at initial assessment in the emergency department appears to be a simple and rapid

means of diagnosing sepsis. qSOFA levels were significantly associated with mortality. CRP, procalcitonin, and lactate levels

were also associated with mortality, and CRP was significantly associated with qSOFA. Early diagnosis and treatment can be

expected to reduce mortality.

Keywords: Sepsis, qSOFA, Emergency, Mortalit

Sürdürülebilir Kalkınma Amaçları

  • SKA 3: Sağlıklı Bireyler

Atıf için künye

Kesmez Can, F., Tekin, E., Can, A., Alay, H., & Aras, A. (2021). The evaluation of sepsis in the emergency department and its association with mortality. JOURNAL OF HEALTH SCIENCES AND MEDICINE, 4(5), 741–745. https://doi.org/10.32322/jhsm.960792

BibTeX 
@article{kesmezcan2021-220524,
  author = {Kesmez Can, Fatma and Tekin, Erdal and Can, Abdullah and Alay, Handan and Aras, Aysun},
  title = {The evaluation of sepsis in the emergency department and its association with mortality},
  journal = {JOURNAL OF HEALTH SCIENCES AND MEDICINE},
  year = {2021},
  volume = {4},
  number = {5},
  pages = {741--745},
  issn = {2636-8579},
  doi = {10.32322/jhsm.960792},
  url = {https://akademik.atauni.edu.tr/yayinlar/220524-the-evaluation-of-sepsis-in-the-emergency-department-and-its-association-with}
}