{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:15:53Z","timestamp":1740176153383,"version":"3.37.3"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T00:00:00Z","timestamp":1627948800000},"content-version":"vor","delay-in-days":33,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The quick sequential organ failure assessment (QSOFA) score and the systemic inflammatory response syndrome (SIRS) criteria were developed to predict the risk of sepsis and death in patients received in emergency. To improve sensitivity in predicting death, the association of the two scores was proposed under the term QSIRS (QSOFA\u2009+\u2009SIRS). Our aim was to determine the accuracy of QSOFA, SIRS, and QSIRS in prediction of mortality in surgical emergencies, and to compare these scores.<\/jats:p><jats:p>\n          Patients and Methods\u2003This is a prospective study over a period of 1 year. Patients older than 15 years who presented a digestive surgical emergency (bowel obstruction, peritonitis, appendicitis, strangulated hernia) were included. For each score, the specificity, the sensitivity, the positive predictive value, the negative predictive value, and areas under the receiver operating characteristic (ROC) curve (AUC) were compared.<\/jats:p><jats:p>\n          Results\u2003One hundred and eighteen patients were included and 11 deaths were recorded (9.3%). There was a statistically significant relationship between each score and death (QSOFA p\u2009=\u20090.01, SIRS p\u2009=\u20090.003, and QSIRS p\u2009=\u20090.004). The realization of the ROC curve found a higher AUC for QSIRS (0.845 [0.767\u20130.905]) compared with QSOFA (0.783 [0.698\u20130.854]) and SIRS (0.737 [0.648\u20130.813]). QSIRS (90.9%) had a higher sensitivity compared with the two other scores alone (SIRS\u2009=\u200981.9% and QSOFA\u2009=\u200936.3%).<\/jats:p><jats:p>\n          Conclusion\u2003Our study found that QSIRS improves the ability to predict death in digestive surgical emergencies.<\/jats:p>","DOI":"10.1055\/s-0041-1733831","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T22:59:36Z","timestamp":1628031576000},"page":"e199-e202","source":"Crossref","is-referenced-by-count":6,"title":["QSIRS Can Improve Accuracy of QSOFA and SIRS in Prediction of Mortality in Surgical Emergencies"],"prefix":"10.1055","volume":"07","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8103-1375","authenticated-orcid":false,"given":"Abdourahmane","family":"Ndong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adja Coumba","family":"Diallo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques Noel","family":"Tendeng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amadou Ibra","family":"Diallo","sequence":"additional","affiliation":[{"name":"Department of Public Health and Preventive Medicine, Cheikh Anta Diop University, Dakar, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Lamine","family":"Diao","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvain Assega","family":"Sagna","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saer","family":"Diop","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diago Anta","family":"Dia","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daouda","family":"Diouf","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bayo Ismael","family":"Racine","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe Manyacka Ma","family":"Nyemb","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahima","family":"Konat\u00e9","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,3]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1002\/bjs.9329","article-title":"Global disease burden of conditions requiring emergency surgery","volume":"101","author":"B Stewart","year":"2014","journal-title":"Br J Surg"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"e000160","DOI":"10.1136\/tsaco-2017-000160","article-title":"Risk stratification tools in emergency general surgery","volume":"3","author":"J M Havens","year":"2018","journal-title":"Trauma Surg Acute Care Open"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1001\/jama.2016.0287","article-title":"The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)","volume":"315","author":"M Singer","year":"2016","journal-title":"JAMA"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s00268-019-05181-x","article-title":"The combined SIRS\u2009+\u2009qSOFA (qSIRS) score is more accurate than qSOFA alone in predicting mortality in patients with surgical sepsis in an LMIC emergency department","volume":"44","author":"S L Green","year":"2020","journal-title":"World J Surg"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/BF01709751","article-title":"The SOFA (sepsis-related organ failure assessment) score to describe organ dysfunction\/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine","volume":"22","author":"J L Vincent","year":"1996","journal-title":"Intensive Care Med"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"943","DOI":"10.21037\/jtd.2017.03.125","article-title":"SIRS, qSOFA and new sepsis definition","volume":"9","author":"P E Marik","year":"2017","journal-title":"J Thorac Dis"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.tjem.2018.08.002","article-title":"Comparison of qSOFA and SOFA score for predicting mortality in severe sepsis and septic shock patients in the emergency department of a low middle income country","volume":"18","author":"M A Baig","year":"2018","journal-title":"Turk J Emerg Med"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1016\/j.suc.2012.08.009","article-title":"Epidemiology of sepsis in surgical patients","volume":"92","author":"L J Moore","year":"2012","journal-title":"Surg Clin North Am"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1733831.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T23:00:03Z","timestamp":1628031603000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1733831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":8,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,7,19]]},"published-print":{"date-parts":[[2021,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1733831","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"type":"print","value":"2378-5128"},{"type":"electronic","value":"2378-5136"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}