Agreement between qSOFA and NEWS scores in the screening of sepsis through Monte Carlo simulation

Autores

  • Miguel Damásio Cardoso Mendes Universidade do Sul de Santa Catarina (UNISUL). Departamento de Medicina. Tubarão, Santa Catarina, Brasil
  • Kelser de Souza Kock Universidade do Sul de Santa Catarina (UNISUL). Departamento de Medicina. Tubarão, Santa Catarina, Brasil

DOI:

https://doi.org/10.26694/repis.v8i1.2744

Palavras-chave:

Sepsis, Computer Simulation, Organ Dysfunction Scores, Diagnostic Techniques and Procedures, Sensitivity and Specificity

Resumo

Introduction: The early warning scores used for sepsis have different risk stratification and accuracy metrics, which can delay diagnosis by the health team. Aim: The study aims to evaluate the agreement and differences between the qSOFA and NEWS criteria in the early detection of sepsis risk in a defined population through a computer simulation. Outlining: A computer simulation was performed using the Monte Carlo method. 10,000 cases were simulated based on the variables described by the NEWS and qSOFA scores.  Results: After evaluating the 10,000 cases, qSOFA≥2 proved to be less sensitive (22.22% (95% CI 21.00 – 23.49)) than NEWS≥7 (93.41% (95% CI 91.72 – 94.78)). When analyzing specificity, NEWS≥7 (62.99% (CI 95% 61.98 – 63.98)) was lower than qSOFA≥2 (98.83% (CI 95% 98.52 – 99.08)). Agreement was 66.08% (95% CI 65.15 - 67.00). Implications: The study showed good agreement between the scores and also showed that NEWS is superior to qSOFA when analyzing sensitivity, but the result is reversed when talking about specificity. 

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Publicado

2023-02-05

Como Citar

Mendes, M. D. C. ., & Kock, K. de S. (2023). Agreement between qSOFA and NEWS scores in the screening of sepsis through Monte Carlo simulation. Revista Prevenção De Infecção E Saúde, 8(1). https://doi.org/10.26694/repis.v8i1.2744