Comparison of quick Pitt to quick sofa and sofa scores for scoring of severity for patients with urinary tract infection
Por:
Madrazo M, Piles L, López-Cruz I, Alberola J, Eiros JM, Zaragoza R and Artero A
Publicada:
1 ago 2022
Ahead of Print:
1 ene 2022
Resumen:
Quick Pitt (qPitt), which includes temperature, systolic blood pressure, respiratory rate, cardiac arrest, and mental status, is a new prognostic score derived from the Pitt Bacteremia score. The aim of our study is to compare qPitt with quick SOFA (qSOFA) and SOFA for scoring of severity in patients with urinary tract infection (UTI). Prospective observational study of patients diagnosed with UTI. Area under the ROC curve, sensibility, and specificity to predict 30-day mortality were calculated for qPitt, qSOFA and SOFA and compared. 382 UTI cases were analyzed. Thirty-day mortality (18.8% vs. 5.9%, p < 0.001) and longer hospital stay (6 [1-11] vs. 4 [1-7] days, p < 0.001) were associated with qPitt >= 2. However, qPitt had a worse performance to predict 30-day mortality compared to qSOFA and SOFA (AUROC 0.692 vs. 0.832 and 0.806, respectively, p = 0.010 and p = 0.041). The sensitivity of qPitt was lower than the sensitivity of qSOFA and SOFA (70.45 vs. 84.09 for both qSOFA and SOFA, p < 0.001), with a specificity lower than qSOFA and similar to SOFA (60.36 vs. 82.25 and 63.61, p < 0.001 and p = 0.742, respectively). Quick Pitt had moderate prognostic accuracy and performed worse than qSOFA and SOFA scores for predicting mortality in patients with UTI.
Filiaciones:
:
Doctor Peset University Hospital, Universitat de València, Avda Gaspar Aguilar n 90, 46017, Valencia, Spain
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Doctor Peset University Hospital, Valencia, Spain
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Doctor Peset University Hospital, Valencia, Spain
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Doctor Peset University Hospital, Universitat de València, Avda Gaspar Aguilar n 90, 46017, Valencia, Spain.
Eiros JM:
Rio Hortega University Hospital, Universidad de Valladolid, Valladolid, Spain
:
Doctor Peset University Hospital, Universitat de València, Avda Gaspar Aguilar n 90, 46017, Valencia, Spain
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Doctor Peset University Hospital, Universitat de València, Avda Gaspar Aguilar n 90, 46017, Valencia, Spain
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