qSOFA 评分在预测癌症患者住院死亡率方面的实用性。

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Gaceta medica de Mexico Pub Date : 2024-01-01 DOI:10.24875/GMM.M24000857

Georgina Olvera-Alanis, Silvio A Ñamendys-Silva, Bertha M Córdova-Sánchez, José A Mejía-Mejía, Francisco J García-Guillén

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引用次数: 0

摘要

背景：脓毒症相关器官功能衰竭快速序列评估（qSOFA）是一种用于快速识别死亡风险较高的患者的评分方法：描述qSOFA评分在预测癌症患者院内死亡率方面的实用性：横断面研究在 2021 年 1 月至 2022 年 12 月间进行。住院死亡率是因变量。计算ROC曲线下面积（AUC）以确定qSOFA预测院内死亡率的鉴别能力：结果：共纳入了 587 名癌症患者。qSOFA 评分高于 1 分的敏感性为 57.2%，特异性为 78.5%，阳性预测值为 55.4%，阴性预测值为 79.7%。qSOFA 预测院内死亡率的 AUC 为 0.70。qSOFA 评分为 2 分和 3 分的患者的院内死亡率分别为 52.7% 和 64.4%。结论：qSOFA在预测癌症患者院内死亡率方面显示出了可接受的鉴别能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Usefulness of the qSOFA score for predicting hospital mortality in cancer patients.

Background: The quick Sequential Sepsis-related Organ Failure Assessment (qSOFA) is a score that has been proposed to quickly identify patients at higher risk of death.

Objective: To describe the usefulness of the qSOFA score to predict in-hospital mortality in cancer patients.

Material and methods: Cross-sectional study carried out between January 2021 and December 2022. Hospital mortality was the dependent variable. The area under the ROC curve (AUC) was calculated to determine the discriminative ability of qSOFA to predict in-hospital mortality.

Results: A total of 587 cancer patients were included. A qSOFA score higher than 1 obtained a sensitivity of 57.2%, specificity of 78.5%, a positive predictive value of 55.4% and negative predictive value of 79.7%. The AUC of qSOFA for predicting in-hospital mortality was 0.70. In-hospital mortality of patients with qSOFA scores of 2 and 3 points was 52.7 and 64.4%, respectively. In-hospital mortality was 31.9% (187/587).

Conclusion: qSOFA showed acceptable discriminative ability for predicting in-hospital mortality in cancer patients.

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.