Comparison of the Predictive Performances of qSOFA, APACHE II, and SGS for Evaluation of the Disease Prognosis of CCHF Patients at the Emergency Department

Jpn J Infect Dis. 2020 Sep 24;73(5):323-329. doi: 10.7883/yoken.JJID.2019.507. Epub 2020 Apr 30.

Abstract

In this study, we compared the predictive performances of quick sequential organ failure assessment (qSOFA), the acute physiology and chronic health evaluation (APACHE II) scores, and the severity grading score (SGS) for evaluation of the disease prognosis of patients with Crimean-Congo hemorrhagic fever (CCHF) at the emergency department. We recorded the qSOFA, SGS, and APACHE II scores at admission and at the 72nd and 120th hour in 97 patients admitted to the emergency department and diagnosed with CCHF. In our study, the area under a receiver operating characteristic curve values of qSOFA, SGS, and APACHE II at admission were found to be 0.640, 0.824, and 0.576, respectively. No statistical significance was found for a qSOFA score ≥ 2 at admission as a predictor of mortality. The use of qSOFA score for diseases with a mortal prognosis such as CCHF is insufficient in predicting the prognosis.

Keywords: CCHF; emergency; qSOFA.

Publication types

  • Comparative Study

MeSH terms

  • APACHE*
  • Adult
  • Aged
  • Disease Progression
  • Emergency Service, Hospital*
  • Female
  • Hemorrhagic Fever Virus, Crimean-Congo
  • Hemorrhagic Fever, Crimean / diagnosis*
  • Hemorrhagic Fever, Crimean / mortality
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Organ Dysfunction Scores*
  • Predictive Value of Tests
  • Prognosis
  • Prospective Studies
  • ROC Curve
  • Severity of Illness Index