000			03397cam a2200349 a 4500
003			EG-GiCUC
005			20250223032725.0
008			210408s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.09.Ph.D.2020.Ad.Q
100	0		_aAdel Reda Abouelfotouh Ibrahim
245	1	4	_aThe quick sequential organ failure assessment score for predicting outcome in patients with sepsis and evidence of multiorgan failure at the time of emergency department presentation / _cAdel Reda Abouelfotouh Ibrahim ; Supervised kamel Abdelaaziz Abdalla , Mohamed Mohamed Yousef Khalid , Moataz Mohamed Ibrahim
246	1	5	_aالتنبؤ الطبى لمرضى الإنتان و دلائل فشل الأعضاء المتعدد وقت فحص المرضى بقسم الطوارئ بإستخدام نموذج التقييم السريع لتوابع فشل أعضاء الجسم -الصوفا السريع
260			_aCairo : _bAdel Reda Abouelfotouh Ibrahim , _c2020
300			_a154 P . : _bcharts , facsmilies ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520			_aIntroduction: Sepsis is defined as a life-threatening organ dysfunction due to an inflammatory immune response triggered by an infection. In 2016, a shortened sequential organ failure assessment score (SOFA score), known as the quick SOFA score (qSOFA), replaced the SIRS system of diagnosis. Objective: The aim of our work was to investigate the validity of qsofa in predicting outcome of patients with sepsis in the emergency department. Methods: This prospective comparative study was be conducted on 100 patients from august 2017 to august 2018, with sepsis and evidence of Multi-Organ Failure (MOF) at the time of emergency department presentation, who were admitted to the critical care department, Cairo University, Egypt to evaluate the quick Sequential Organ Failure Assessment score for predicting Outcome in septic patients. RESULTS: The mean age of all patients was (67.55 ± 13.3) year and the majority (74%) of patients were males. The predominant cause of sepsis was pneumonia (87%). Multiple regression analysis showed that qSOFA at day-0 had an independent effect on increasing organ dysfunction (p < 0.05 respectively). The overall mortality was 32%. By using ROC-curve analysis, qSOFA score at day-0 predicted patients mortality, with poor accuracy, sensitivity= 43% and specificity= 70% (p = 0.042). SOFA score at day-1 predicted patients mortality, with good accuracy, sensitivity= 84% and specificity= 76% (p < 0.01). APACHEII score predicted patients mortality, with good accuracy, sensitivity= 87% and specificity= 72% (p < 0.01). Conclusion: qSOFA at admission is a useful predictor of sepsis and evidence of multi-organ failure in critically ill patients in ED. qSOFA had poor sensitivity and moderate specificity for short-term mortality
530			_aIssued also as CD
653		4	_aqSOFA
653		4	_aSepsis
653		4	_aSOFA
700	0		_akamel Abdelaaziz Abdalla , _eSupervisor
700	0		_aMoataz Mohamed Ibrahim , _eSupervisor
700	0		_aMohamed Mohamed Yousef Khalid , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aAmira _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c80558 _d80558