Use of qSOFA criteria in prediction of poor prognosis in acute pancreatitis

Abstract

AimIn this study, we aimed to investigate the usability of SOFA and qSOFA criteria in predicting the conditions by which the poor prognosis such as hospitalization in the intensive care unit, long length of hospital stay, and death was observed for the patients receiving a diagnosis of acute pancreatitis in the emergency department. MethodsThe data of 98 patients with acute pancreatitis diagnosis, which was verified by computerized abdominal tomography in the university hospital emergency department between 2013 and 2018, were used in our study. The study was designed as a monocentric retrospective study. The SOFA and qSOFA criteria of the patients were calculated during the application to the emergency department. ResultsFifty-three percent (n = 52) of the patients were female. Their mean age was 57.5 ± 18.57 years. Forty-eight patients (49%) were detected to have any of the poor prognostic criteria. During the application, the qSOFA score of 26 (26.5%) patients was 1 and above and the qSOFA score of 72 (73.5%) patients was 0. SOFA (P < .001) and qSOFA (P = .004) values were significantly different between the patients having good prognosis and poor prognosis. When the cut-off was taken as >0 for the qSOFA criteria, we determined the AUC as 0.641, sensitivity as 39.58%, specificity as 86%, and 95% CI as 0.538–0.735, P = .001, respectively. ConclusionThe SOFA and qSOFA criteria, which are used to predict organ failure in sepsis, can also be used as scoring systems for predicting poor prognosis in acute pancreatitis in the emergency department.

Keywords

Additional Information

Publisher’s Note
Bayrakol MP remains neutral with regard to jurisdictional and institutional claims.

Rights and Permissions