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P242 Concurrent validity of sequential organ failure assessment versus systemic inflammatory response syndrome score for patients in the intensive care unit.

B. Donald; G. Udeani; S. Surani; L. Azali; H. Patel
Author and Funding Information

1Pharmacy, Corpus Christi Medical Center, Corpus Christi

2College of Pharmacy, Texas A&M University, Kingsville

3Pulmonology, Corpus Christi Medical Center, Corpus Christi

4Pulmonary Fellowship Director, University of North Texas, Denton

5College of Medicine, Texas A&M University, Bryan, United States


Copyright 2017, American College of Chest Physicians and Swiss Respiratory Society SGP. All Rights Reserved.


Chest. 2017;151(5_S):A142. doi:10.1016/j.chest.2017.04.149
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Introduction: The Third International Consensus Definitions for Sepsis and Septic Shock updated the definition of sepsis to match the former definition of severe sepsis and the screen used to assess sepsis from systemic inflammatory response syndrome (SIRS) to the sequential organ failure assessment (SOFA) and quick SOFA (qSOFA) score. We reviewed ICU patients at our institution to determine the impact of changing our usual assessment for sepsis.

Methods: Retrospective chart review of 21 patients in the ICU with confirmed or suspected infection in October 2016 was conducted. Physician orders for anti-infectives and cultures were used as a surrogate for suspected infection. Surgical patients were excluded to avoid confounding results. SIRS, SOFA, and qSOFA scores were calculated at each assessment and lab result. Concurrence was assessed for both SOFA and qSOFA with regards to SIRS by the incidence of simultaneous positive scores and the lag time between positive scores. The time between first positive result for each score was measured when one score showed a negative result before concurrence. The lag time between positive results when concurrent and the time between first positive results were assessed using descriptive statistics.

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