IAN WARD ABDALLA MAIA

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Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/51 - Laboratório de Emergências Clínicas, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 4 de 4
  • bookPart
    Suporte avançado de vida
    (2021) ALENCAR, Júlio César Garcia de; CASTRO, Braian Valério Cassiano de; MAIA, Ian Ward Abdalla; PADRãO, Eduardo Messias Hirano; AMORIM, Klícia Duarte; SOUZA, Heraldo Possolo de
  • bookPart
    Suporte básico de vida no adulto
    (2021) ALENCAR, Júlio César Garcia de; CASTRO, Braian Valério Cassiano de; PADRãO, Eduardo Messias Hirano; MAIA, Ian Ward Abdalla; AMORIM, Klícia Duarte; SOUZA, Heraldo Possolo de
  • bookPart
    Choque
    (2021) FRANCESCO, Danilo Dias de; XAVIER, Rodolfo Affonso; MAIA, Ian Ward Abdalla; ALENCAR, Júlio César Garcia de
  • article 0 Citação(ões) na Scopus
    Prognostic accuracy of qSOFA at triage in patients with suspected infection in a Brazilian emergency department
    (2021) MAIA, Ian Ward A.; SILVA, Lucas Oliveira J. E.; HERPICH, Henrique; DIOGO, Luciano; SANTANA, Joao Carlos Batista; PEDROLLO, Daniel; PEREZ, Mario Castro Alvarez; NICOLAIDIS, Rafael
    Objective: To evaluate the prognostic accuracy of qSOFA for predicting in-hospital mortality among patients with suspected infection presenting to the ED of a public tertiary hospital in Brazil. Methods: We performed a retrospective cohort study of consecutive adult patients (age >= 18 years) with suspected infection who presented to an academic tertiary ED in Porto Alegre (Southern Brazil) during an 18-month period. The qSOFA was calculated by using information collected at triage and patients were followed throughout hospitalization for the primary outcome of in-hospital mortality. Sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratios with corresponding 95% CIs were calculated for the qSOFA and qSOFA65. Results: A total of 7523 ED visits of patients with suspected infection in which an intravenous antibiotic was administered within 24 h were included, which resulted in 908 in-hospital deaths (12.1%). There were 690 (9.2%) patients whose triage qSOFA was >= 2 points. When such cutoff was used, the sensitivity for in-hospital death was 24.6% (95% CI 21.8 to 27.4%) and the specificity was 92.9% (95% CI 92.3% to 93.5%). The sensitivity increased to 67.4% (95% G 64.2% to 70.3%) when a cutoff of >= 1 was tested, but the specificity decreased to 55.3% (95% CI 54.1% to 565%). Using a cutoff of >= 2, the qSOFA65 had a sensitivity of 51.0% (95% CI 47.7% to 54.3%) and a specificity of 75.7% (95% CI 74.6% to 76.7%). Conclusions: The qSOFA score yielded very low sensitivity in predicting in-hospital mortality. Emergency physicians or ED triage nurses in low-to-middle income countries should not be using qSOFA or qSOFA65 as ""rule-out"" screening tools in the initial evaluation of patients with suspected infection.