Comparison of qSOFA and NEWS for the identification of sepsis in the emergency department

Postgraduate Thesis uoadl:3252909 41 Read counter

Unit:
Κατεύθυνση Εντατική και Επείγουσα Νοσηλευτική
Library of the School of Health Sciences
Deposit date:
2022-11-30
Year:
2022
Author:
Kyriakopoulou Stavroula
Supervisors info:
Παύλος Μυριανθεύς, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Θεόδωρος Μαριόλης - Σαψάκος, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Άννα Κορομπέλη, ΕΔΙΠ, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Original Title:
Σύγκριση των κλιμάκων qSOFA και NEWS για την αναγνώριση της σήψης στα τμήματα επειγόντων περιστατικών
Languages:
Greek
Translated title:
Comparison of qSOFA and NEWS for the identification of sepsis in the emergency department
Summary:
Sepsis is a pathological condition classified as a "medical emergency" and is used as a term to describe the human body's systemic immune response to a serious infection, which has the potential to lead to end-stage dysfunction of a number of vital organs of the human body and ultimately to death. Sepsis remains one of the most important causes of morbidity and mortality in patients who are in a critical state of health. Among the two most widely used scoring and assessment tools for the patients with possible infection and septic condition in the ICU setting are the qSOFA and the NEWS.
Purpose: The purpose of this thesis is to compare those two specific scales for the identification of sepsis in the emergency department’s setting, in terms of their ability to reliably predict patients’ outcome (development of serious complications, need for admission to intensive care units and / or death). In order to achieve the above mentioned objective, the tool of narrative literature review was chosen.
Conclusion: Early recognition of sepsis, especially in the emergency department setting, is a particularly important challenge for the clinician. In recent years, there have been modifications in its definitions, and recent Sepsis-3 criteria guidelines recommend the use of the qSOFA scale in the emergency departments in order to identify early those patients who have an increased likelihood of adverse health outcomes. The main conclusion of the study is that the NEWS scale has a better predictive value compared to the qSOFA scale, both in the group of patients presenting with suspected sepsis and in those presenting with suspected COVID-19 disease. On the other hand, it appears that the qSOFA scale is superior in terms of its specificity. In the future, conducting randomized – controlled clinical trials and systematically analyzing their results will probably provide clearer answers to this research question.
Main subject category:
Health Sciences
Keywords:
Sepsis, qSOFA, NEWS, Emergency department
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
59
Number of pages:
72
File:
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