.jpg)
12.Battle of Being Better! Comparison of NEWS vs qSOFA in the Early Detection of Sepsis in Emergency Department Sobia Ambreen, Yar Muhammad, Muhammad Akif Ali Khan, Muhammad
Tehmina Maqbool and Sidra Saeed
ABSTRACT
Objective: Our objective is to study the relationship between NEWS & qSOFA at presentation and the diagnosis of severe sepsis and septic shock in the Emergency Department (ED).
Study Design: A prospective observational study
Place and Duration of Study: This study was conducted at the Emergency Department of Mayo Hospital Lahore from Oct.2023 to Jan.2024.
Methods: A prospective observational study was designed with the target population including patients presenting with clinical signs and symptoms suggestive of sepsis in the ED of our tertiary care hospital. Both NEWS and qSOFA scores were calculated in the diseased population. The indices like specificity, sensitivity and area under the ROC curve of both scores were compared.
Results: We included 94 patients in our study, out of which 53 were males and females were 41, were screened for sepsis using NEWS and qSOFA. NEWS was discovered to perform marginally better than qSOFA. The sensitivity of NEWS and qSOFA were found to be 90.91% and 87.72%, specificity was 85.71% and 67.57% and area under ROC curve was 0.94 and 0.794, respectively.
Conclusion: NEWS was found to be more sensitive than qSOFA in the sepsis identification in the emergency department. A score of 5 or more can be used as a reliable indicator for sepsis screening.
Key Words: SIRS, qSOFA, National Early Warning Score, Emergency Department