Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
Online ISSN : 1882-4528
Print ISSN : 0030-1558
Search
Advanced search
OR
Browse
Search
Volume 133, Issue 2
Displaying 1-13 of 13 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
The 2020 Okayama Medical Association Awards
Reviews
Original
  • Effectiveness of the National Early Warning Score in the diagnosis of sepsis as defined by Sepsis-3 criteria in cancer patients
    Dan Liu, Junya Matsumi, Kosuke Saita, Tetsufumi Sato
    2021 Volume 133 Issue 2 Pages 109-112
    Published: August 02, 2021
    Released on J-STAGE: September 01, 2021
    DOIhttps://doi.org/10.4044/joma.133.109
    JOURNAL RESTRICTED ACCESS
    Show abstractHide abstract
    　The third international consensus definition of sepsis (Sepsis-3) recommends the quick sequential organ failure assessment (qSOFA) screening tool in patients with suspected infection. The Early Warning Score (EWS) helps to estimate mortality risk in emergency patients. The National EWS (NEWS) is a bedside score of six routine vital parameters. Few studies have compared qSOFA and NEWS in detecting suspected sepsis in cancer patients, so we compared them as a Sepsis-3 prognostic tool. [Methods] This is a retrospective observational single-center study. The study population consisted of cancer patients who entered the intensive care unit (ICU) between 2014 and 2016 for Sepsis-1 (based on systemic inflammatory response syndrome [SIRS] criteria). We calculated and compared the sensitivity and specificity of qSOFA and NEWS. We performed a receiver operating characteristic (ROC) curve analysis of NEWS in the diagnosis of Sepsis-3. [Results] Of the 62 patients admitted to the ICU for Sepsis-1, 42 had Sepsis-3. For qSOFA, sensitivity was 0.71 and specificity was 0.75. Exploratory analysis using the Youden index suggested that 9 may be the optimal score for NEWS. The sensitivity and specificity of NEWS at 9 points were 0.81 and 0.95, respectively. [Conclusion] We found NEWS to be more accurate than qSOFA in screening for epsis-3.
    View full abstract
    Download PDF (1951K)
Feature Articles : Development of medicine utilizing artificial intelligence
News & View : Tips for Proper Drug Use
Key Word
Meeting Report
Meeting Abstract
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top