{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:21:16Z","timestamp":1787829676318,"version":"build-2784847793"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Fiji has a high morbidity and mortality sepsis burden, but little is known about the utility of prognostic tools for septic patients presenting to hospital in the limited\u2010resource Fijian context. This study aims to compare the ability of the quick sequential organ failure assessment (qSOFA), systemic inflammatory response syndrome (SIRS) and national early warning score (NEWS) at predicting in\u2010hospital mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational study was conducted over 3\u2009months in 2024 at a single Fijian tertiary hospital. Data was collected using an online tool from patients who presented to the Emergency Department with suspicion of sepsis and subsequently required admission. The prognostic accuracy at detecting in\u2010hospital mortality was assessed and compared for qSOFA, SIRS and NEWS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 181 cases were included with an overall in\u2010hospital mortality of 17.13%. In\u2010hospital mortality in patients with a qSOFA \u2265\u20092 was 16 (34%), SIRS\u2009\u2265\u20092 was 25 (19.2%) and NEWS \u2265\u20097 was 23 (35.9%). qSOFA \u2265\u20092 yielded the highest specificity (79%, 95% CI 72%\u201386%) and SIRS \u2265\u20092 the highest sensitivity (81%, 95% CI 63%\u201393%). The NEWS \u2265\u20097 yielded intermediate sensitivity (74%, 95% CI 55%\u201388%) and specificity (73%, 95% CI 66%\u201380%). The AUROC for NEWS \u2265\u20097 was highest at 0.77 (0.68\u20130.87) with qSOFA \u2265\u20092 and SIRS \u2265\u20092 being 0.69 (0.58\u20130.79) and 0.62 (0.51\u20130.73) respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>NEWS demonstrated higher prognostic accuracy compared to qSOFA and SIRS in predicting in\u2010hospital mortality for suspected sepsis patients. Our study provides a benchmark for future ED\u2010based sepsis research in the Pacific.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70333","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T01:10:42Z","timestamp":1787361042000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive Performance of Sepsis Scoring Tools for In\u2010Hospital Mortality Among Patients With Suspected Sepsis Presenting to the Colonial War Memorial Hospital Emergency Department,\n                    <scp>F<\/scp>\n                    iji"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8797-2527","authenticated-orcid":false,"given":"Isaac V.","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Medical Sciences, College of Medicine, Nursing and Health Sciences Fiji National University  Suva Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0414-2802","authenticated-orcid":false,"given":"Georgina","family":"Phillips","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Australia"},{"name":"Department of Critical Care, Faculty of Medicine, Dentistry and Health Sciences University of Melbourne  Melbourne Australia"},{"name":"Emergency Department St Vincent's Hospital Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabiha","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine, Nursing and Health Sciences Fiji National University  Suva Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32989-7"},{"key":"e_1_2_9_3_1","unstructured":"\u201cWHO Calls for Global Action on Sepsis \u2010 Cause of 1 in 5 Deaths Worldwide \u201dhttps:\/\/www.who.int\/news\/item\/08\u201009\u20102020\u2010who\u2010calls\u2010for\u2010global\u2010action\u2010on\u2010sepsis\u2010\u2010\u2010cause\u2010of\u20101\u2010in\u20105\u2010deaths\u2010worldwide."},{"key":"e_1_2_9_4_1","unstructured":"\u201cWDI \u2010 The World by Income and Region \u201dhttps:\/\/datatopics.worldbank.org\/world\u2010development\u2010indicators\/the\u2010world\u2010by\u2010income\u2010and\u2010region.html."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2022.100438"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2024.101036"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-17-67"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-017-4683-6"},{"key":"e_1_2_9_9_1","volume-title":"National Early Warning Score (NEWS): Standardising the Assessment of Acute\u2010Illness Severity in the NHS","author":"Royal College of Physicians","year":"2012"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0288"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-021-06506-y"},{"issue":"4","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"e0266755","DOI":"10.1371\/journal.pone.0266755","article-title":"A Comparison of qSOFA, SIRS and NEWS in Predicting the Accuracy of Mortality in Patients With Suspected Sepsis: A Metaanalysis","volume":"17","author":"Wang C.","year":"2022","journal-title":"PLoS One"},{"key":"e_1_2_9_13_1","unstructured":"\u201cCensus of Population and Housing: Fiji Bureau of Statistics \u201d2007 https:\/\/www.statsfiji.gov.fj\/statistics\/2007\u2010census\u2010of\u2010population\u2010and\u2010housing.html."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0211133"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0178429"},{"key":"e_1_2_9_16_1","unstructured":"World Health Organization \u201cSmall Island Developing States Summit for Health \u201d2021 Policy Brief: Health System Challenges; 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