Highlights
- •Heat-related illnesses pose significant threats to human health.
- •qSOFA score can be used as a parameter to distinguish severe hospitalized patients.
- •Multiple organ impairment should be considered when assessing patient prognosis.
Abstract
Background
Heat-related illnesses pose significant threats to human health.
Objectives
(1) To evaluate the use of qSOFA score for prognosis of heat-related hospitalized
patients; and (2) identify other predictors for patient prognosis.
Methods
Using 28-day mortality as the primary endpoint, a retrospective, observational study
of patients hospitalized between June 2013 and September 2018 was conducted.
Results
The qSOFA score from 84 patients was identified as an independent predictor of patient
prognosis. The area under the receiver operating characteristic curves for qSOFA score
was 0.702, and a sensitivity of 100.00% and a specificity of 47.06% were found for
qSOFA score greater than or equal to 2. Other predictors included bilirubin, urea
nitrogen, and troponin I levels.
Conclusions
qSOFA score can be used as a parameter to distinguish patients with severe heat-related
illness prior to further clinical analyses. In addition to that, multiple organ impairment
should be considered when assessing patient prognosis.
Keywords
Abbreviations:
HS (heat stroke), ICU (intensive care unit), qSOFA (Quick Sequential Organ Failure Assessment), SOFA score (sequential organ failure assessment score), ALT (alanine transaminase), AST (aspartate transaminase), TB (total bilirubin), CK (creatinine kinase), BUN (blood urea nitrogen), Cr (creatinine), WBC (white blood cell count), Hb (hemoglobin), PLT (platelet count), INR (international normalized ratio), TnI (troponin I), ROC curves (Receiver operating characteristic curves), AUROC (Area under the receiver operating characteristic curves)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 03, 2020
Accepted:
February 7,
2020
Received in revised form:
February 2,
2020
Received:
July 22,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
