Risk assessment of the blunt trauma victim: The role of the quick Sequential Organ Failure Assessment Score (qSOFA).

Research paper by Randeep S RS Jawa, James A JA Vosswinkel, Jane E JE McCormack, Emily C EC Huang, Henry C HC Thode, Marc J MJ Shapiro, Adam J AJ Singer

Indexed on: 18 Jun '17Published on: 18 Jun '17Published in: The American Journal of Surgery®


A number or risk assessment tools are used in trauma victims. Because of its simplicity, we examined the ability of the recently described quick Sequential Organ Failure Assessment Score (qSOFA) to predict outcomes in blunt trauma patients presenting to the Emergency Department.We queried the trauma registry at a Level 1 Trauma Center for all adult blunt trauma admissions between 1/1/10 and 9/30/15. qSOFA scores were the sum of binary scores for 3 variables (RR ≥ 22, SBP≤100 mmHg, and GCS≤13).There were 7064 admissions (5664 admissions had qSOFA = 0, 1164 had qSOFA = 1, 223 had qSOFA = 2, and 13 had qSOFA = 3). Higher qSOFA scores were associated with greater injury severity, increased ICU admission, and higher complication rates. qSOFA scores were associated with in-hospital mortality (1.7% with qSOFA = 0; 8.7% with qSOFA = 1; 22.4% with qSOFA = 2; 23.1% with qSOFA = 3; p < 0.001). On multivariate analysis, qSOFA score was an independent predictor of mortality.qSOFA scores are directly associated with adverse outcomes in blunt trauma victims.QSOFA score can be easily calculated in the Emergency Department. It can be quickly used to identify patients at high risk for adverse outcomes.