Associação do Quick Sofa e da Síndrome da Resposta Inflamatória Sistêmica com a mortalidade em pacientes sépticos

Background and Objective: sepsis, a life-threatening condition, requires early identification. The Quick Sofa score may contribute to identifying the risk of sepsis in patients admitted to the emergency department. However, these scores and criteria need extensive testing before being implemented in clinical practice. This study aimed to evaluate the association between the Quick Sofa score and the Systemic Inflammatory Response Syndrome criteria with mortality in critically ill septic patients from a university hospital. Methods: a retrospective observational study including 614 patients aged over 18 years, admitted to the intensive care unit due to sepsis or septic shock. Results: no statistically significant differences were observed in the Quick Sofa or the Systemic Inflammatory Response Syndrome between survivors and non-survivors. Patients with a Quick Sofa score ≥2 were associated with the development of septic shock (p=0.00). Patients scoring ≥2 on Systemic Inflammatory Response Syndrome criteria showed a significant association with intensive care unit stays longer than 72 hours (p=0.013). Conclusion: the scores and criteria evaluated were not associated with mortality in septic patients. High mortality rates and the incidence of septic shock highlight the need for more effective tools for early diagnosis of sepsis.