A Comparison of the Quick-SOFA and Systemic Inflammatory Response Syndrome Criteria for the Diagnosis of Sepsis and Prediction of Mortality
Abstract
Background Several studies were published to validate the quick Sepsis-related Organ Failure Assessment (qSOFA), namely in comparison with the systemic inflammatory response syndrome (SIRS) criteria. We performed a systematic review and meta-analysis with the aim of comparing the qSOFA and SIRS in patients outside the ICU.Methods We searched MEDLINE, CINAHL, and the Web of Science database from February 23, 2016 until June 30, 2017 to identify full-text English-language studies published after the Sepsis-3 publication comparing the qSOFA and SIRS and their sensitivity or specificity in diagnosing sepsis, as well as hospital and ICU length of stay and hospital mortality. Data extraction from the selected studies followed the recommendations of the Meta-analyses of Observational Studies in Epidemiology group and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.Results From 4,022 citations, 10 studies met the inclusion criteria. Pooling all the studies, a total of 229,480 patients were evaluated. The meta-analysis of sensitivity for the diagnosis of sepsis comparing the qSOFA and SIRS was in favor of SIRS (risk ratio [RR], 1.32; 95% CI, 0.40-2.24; P < .0001; I 2 = 100%). One study described the specificity for the diagnosis of infection comparing SIRS (84.4%; 95% CI, 76.2-90.6) with the qSOFA (97.3%; 95% CI < 92.1-99.4); the qSOFA demonstrated better specificity. The meta-analysis of the area under the receiver operating characteristic curve of six studies comparing the qSOFA and SIRS favored the qSOFA (RR, 0.03; 95% CI, 0.01-0.05; P = .002; I 2 = 48%) as a predictor of inhospital mortality.Conclusions The SIRS was significantly superior to the qSOFA for sepsis diagnosis, and the qSOFA was slightly better than the SIRS in predicting hospital mortality. The association of both criteria could provide a better model to initiate or escalate therapy in patients with sepsis.Systematic review registration PROSPERO CRD42017067645.
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Concerns have been raised regarding the poor sensitivity of the qSOFA possibly leading to delays in sepsis identification.
“However, concerns have been raised regarding the poor sensitivity of the qSOFA possibly leading to delays in sepsis identification [40].”
From Machine learning for the prediction of sepsis: a systematic review and meta-analysis of diagnostic test accuracy (2020) · cites this paper as [40]
Studies investigating qSOFA as a sepsis screening tool have produced contradictory results.
“Since that time numerous studies have investigated the potential use of the qSOFA as a screening tool for sepsis [40–42]. The results have been contradictory as to its usefulness.”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [42]
qSOFA is more specific but less sensitive than two of four SIRS criteria for early identification of infection-induced organ dysfunction.
“Studies have shown that qSOFA is more specific but less sensitive than having two of four SIRS criteria for early identification of infection induced organ dysfunction [40–43].”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [42]
Neither SIRS nor qSOFA are ideal sepsis screening tools.
“Neither SIRS nor qSOFA are ideal screening tools for sepsis and the bedside clinician needs to understand the limitations of each.”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [42]
Cites
The third international consensus definitions for sepsis and septic shock (Sepsis-3).
Singer, M., Deutschman, C. S., Seymour, C. W., Shankar-Hari, M., Annane, D., Bauer, M., Bellomo, R., Bernard, G. R., Chiche, J.-D., Coopersmith, C. M., et al. (2016) · JAMA · doi:10.1001/jama.2016.0287 · Cited by 28,250 · see citing works
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164 · see citing works
Stroup, D. F. (2000) · JAMA · doi:10.1001/jama.283.15.2008 · Cited by 20,623 · see citing works
Bone, R. C., BALK, R. A., Cerra, F. B., Dellinger, R. P., Fein, A. M., Knaus, W. A., Schein, R. M. H., & Sibbald, W. J. (1992) · CHEST Journal · doi:10.1378/chest.101.6.1644 · Cited by 13,192 · see citing works
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.006 · Cited by 10,578 · see citing works
Seymour, C. W., Liu, V. X., Iwashyna, T. J., Brunkhorst, F. M., Rea, T. D., Scherag, A., Rubenfeld, G., Kahn, J. M., Shankar-Hari, M., Singer, M., et al. (2016) · JAMA · doi:10.1001/jama.2016.0288 · Cited by 3,939 · see citing works
2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference
Conference, F. T. I. S. D., Levy, M. M., Fink, M. P., Marshall, J. C., Abraham, E. H., Angus, D. C., Cook, D., Cohen, J., Opal, S. M., Vincent, J., et al. (2003) · Intensive Care Medicine · doi:10.1007/s00134-003-1662-x · Cited by 2,877 · see citing works
Raith, E. P., Udy, A. A., Bailey, M., McGloughlin, S., MacIsaac, C., Bellomo, R., Pilcher, D. V., & for the Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcomes and Resource Evaluation (CORE) (2017) · JAMA · doi:10.1001/jama.2016.20328 · Cited by 1,279 · see citing works
Jones, A. E. (2010) · JAMA · doi:10.1001/jama.2010.158 · Cited by 1,076 · see citing works
Freund, Y., Lemachatti, N., Krastinova, E., Laer, M. V., Claessens, Y.-É., Avondo, A., Occelli, C., Féral‐Pierssens, A., Truchot, J., Ortega, M., et al. (2017) · JAMA · doi:10.1001/jama.2016.20329 · Cited by 708 · see citing works
Churpek, M. M., Snyder, A., Han, X., Sokol, S., Pettit, N., Howell, M. D., & Edelson, D. P. (2017) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201604-0854oc · Cited by 689 · see citing works
Williams, J. M., Greenslade, J. H., McKenzie, J. V., Chu, K., Brown, A. F., & Lipman, J. (2016) · CHEST Journal · doi:10.1016/j.chest.2016.10.057 · Cited by 293 · see citing works
Confidence Limits Made Easy: Interval Estimation Using a Substitution Method
Daly, L. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009523 · Cited by 289 · see citing works
Askim, Å., Moser, F., Gustad, L. T., Stene, H., Gundersen, M., Åsvold, B. O., Dale, J., Bjørnsen, L. P., Damås, J. K., & Solligård, E. (2017) · Scandinavian Journal of Trauma Resuscitation and Emergency Medicine · doi:10.1186/s13049-017-0399-4 · Cited by 247 · see citing works
Finkelsztein, E. J., Jones, D. S., Ma, K. C., Pabón, M. A., Delgado, T., Nakahira, K., Arbo, J. E., Berlin, D., Schenck, E. J., Choi, A. M. K., et al. (2017) · Critical Care · doi:10.1186/s13054-017-1658-5 · Cited by 231 · see citing works
Simpson, S. Q. (2016) · CHEST Journal · doi:10.1016/j.chest.2016.02.653 · Cited by 215 · see citing works
qSOFA Has Poor Sensitivity for Prehospital Identification of Severe Sepsis and Septic Shock
Dorsett, M., Kroll, M., Smith, C. S., Asaro, P. V., Liang, S. Y., & Moy, H. P. (2017) · Prehospital Emergency Care · doi:10.1080/10903127.2016.1274348 · Cited by 119 · see citing works
Donnelly, J. P., Safford, M. M., Shapiro, N. I., Baddley, J. W., & Wang, H. E. (2017) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(17)30117-2 · Cited by 119 · see citing works
Puskarich, M. A., Marchick, M. R., Kline, J. A., Steuerwald, M., & Jones, A. E. (2009) · Critical Care · doi:10.1186/cc8138 · Cited by 117 · see citing works
The Impact of the Sepsis-3 Septic Shock Definition on Previously Defined Septic Shock Patients*
Sterling, S. A., Puskarich, M. A., Glass, A. F., Guirgis, F. W., & Jones, A. E. (2017) · Critical Care Medicine · doi:10.1097/ccm.0000000000002512 · Cited by 91 · see citing works
Cortés‐Puch, I., & Hartog, C. S. (2016) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201604-0734ed · Cited by 76 · see citing works
April, M. D., Aguirre, J., Tannenbaum, L., Moore, T. M., Pingree, A., Thaxton, R. E., Sessions, D. J., & Lantry, J. H. (2016) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2016.10.012 · Cited by 73 · see citing works
Póvoa, P. M. S. R., Carneiro, A., Ribeiro, O., & Costa‐Pereira, A. (2009) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181958b1c · Cited by 71 · see citing works
Self-citationPark, H., Kim, W. Y., Kim, M. C., Jung, W., & Ko, B. S. (2017) · Journal of Critical Care · doi:10.1016/j.jcrc.2017.06.020 · Cited by 63 · see citing works
Systemic Inflammatory Response Syndrome Criteria for Severe Sepsis
Kaukonen, K.-M., Bailey, M., & Bellomo, R. (2015) · New England Journal of Medicine · doi:10.1056/nejmc1506819 · Cited by 61 · see citing works
Dear Sepsis-3, we are sorry to say that we don’t like you
Carneiro, A. H., Póvoa, P. M. S. R., & Gomes, J. A. (2017) · Revista Brasileira de Terapia Intensiva · doi:10.5935/0103-507x.20170002 · Cited by 57 · see citing works
Self-citationCapp, R., Horton, C. L., Takhar, S. S., Ginde, A. A., Peak, D. A., Zane, R. D., & Marill, K. A. (2015) · Critical Care Medicine · doi:10.1097/ccm.0000000000000861 · Cited by 56 · see citing works
The new sepsis consensus definitions: the good, the bad and the ugly
Sprung, C. L., Schein, R. M. H., & BALK, R. A. (2016) · Intensive Care Medicine · doi:10.1007/s00134-016-4604-0 · Cited by 54 · see citing works
Hiensch, R., Poeran, J., Saunders-Hao, P., Adams, V., Powell, C. A., Glasser, A., Mazumdar, M., & Patel, G. (2017) · American Journal of Infection Control · doi:10.1016/j.ajic.2017.04.005 · Cited by 44 · see citing works
Siddiqui, S., Chua, M., Venkatesan, K., & Choo, R. W. M. (2017) · Journal of Critical Care · doi:10.1016/j.jcrc.2017.05.017 · Cited by 38 · see citing works
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Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005337 · Cited by 2,935 · see citing works
Fleuren, L. M., Klausch, T. L. T., Zwager, C. L., Schoonmade, L. J., Guo, T., Roggeveen, L. F., Swart, E. L., Girbes, A. R. J., Thoral, P., Ercole, A., et al. (2020) · Intensive Care Medicine · doi:10.1007/s00134-019-05872-y · Cited by 755 · see citing works
Sepsis: evolving concepts and challenges
Salomão, R., Ferreira, B. L., Salomão, M. C., Santos, S. S., Azevedo, L. C. P., & Brunialti, M. K. C. (2019) · Brazilian Journal of Medical and Biological Research · doi:10.1590/1414-431x20198595 · Cited by 362 · see citing works
Rudd, K. E., Seymour, C. W., Aluisio, A. R., Augustin, M. E., Bagenda, D. S., Beane, A., Byiringiro, J. C., Chang, C.-C. H., Colas, L. N., Day, N., et al. (2018) · JAMA · doi:10.1001/jama.2018.6229 · Cited by 227 · see citing works
Egi, M., Ogura, H., Yatabe, T., Atagi, K., Inoue, S., Iba, T., Kakihana, Y., Kawasaki, T., Kushimoto, S., Kuroda, Y., et al. (2021) · Journal of Intensive Care · doi:10.1186/s40560-021-00555-7 · Cited by 226 · see citing works
Sepsis: key insights, future directions, and immediate goals. A review and expert opinion
Martín‐Loeches, I., Singer, M., & Léone, M. (2024) · Intensive Care Medicine · doi:10.1007/s00134-024-07694-z · Cited by 190 · see citing works
Crouser, E. D., Parrillo, J. E., Seymour, C. W., Angus, D. C., Bicking, K., Esguerra, V. G., Peck‐Palmer, O. M., Magari, R. T., JULIAN, M. W., Kleven, J. M., et al. (2019) · Critical Care Medicine · doi:10.1097/ccm.0000000000003799 · Cited by 169 · see citing works
Qiu, X., Lei, Y.-H., & Zhou, R.-X. (2023) · Expert Review of Anti-Infective Therapy · doi:10.1080/14787210.2023.2237192 · Cited by 146 · see citing works
Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Intensive Care Medicine · doi:10.1007/s00134-021-06506-y · Cited by 5,082 · see citing works
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock 2026
Prescott, H. C., Antonelli, M. M., Alhazzani, W. A., Møller, M. H., Alshamsi, F. E., Azevedo, L. C. P., Belley‐Côté, E. P., Waele, J. D., Derde, L. P. G., Dionne, J. C., et al. (2026) · Intensive Care Medicine · doi:10.1007/s00134-026-08361-1 · Cited by 134 · see citing works
Crouser, E. D., Parrillo, J. E., Martin, G. S., Huang, D. T., Hausfater, P., Grigorov, I. L., Careaga, D., Osborn, T. M., Hasan, M., & Tejidor, L. (2020) · Journal of Intensive Care · doi:10.1186/s40560-020-00446-3 · Cited by 95 · see citing works
Fang, W., Chen, Y., Wang, Y.-H., Huang, C.-H., Hung, K.-Y., Fang, Y.-T., Chang, Y.-C., Lin, C.-Y., Chang, Y., Chen, H., et al. (2019) · Scientific Reports · doi:10.1038/s41598-019-56368-0 · Cited by 91 · see citing works
Management of Urosepsis in 2018
Bonkat, G., Cai, T., Veeratterapillay, R., Bruyère, F., Bartoletti, R., Pilatz, A. M. E., Köves, B., Geerlings, S. E., Pradère, B., Pickard, R. S., et al. (2018) · European Urology Focus · doi:10.1016/j.euf.2018.11.003 · Cited by 89 · see citing works
Bauer, M. E., Housey, M., Bauer, S. T., Behrmann, S., Chau, A., Clancy, C., Clark, E. A. S., Einav, S., Langen, E., Leffert, L., et al. (2019) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000003709 · Cited by 89 · see citing works
Egi, M., Ogura, H., Yatabe, T., Atagi, K., Inoue, S., Iba, T., Kakihana, Y., Kawasaki, T., Kushimoto, S., Kuroda, Y., et al. (2021) · Acute Medicine & Surgery · doi:10.1002/ams2.659 · Cited by 86 · see citing works
Surviving Sepsis campaign: international guidelines for Management of Sepsis and Septic Shock 2026
Prescott, H. C., Antonelli, M., Alhazzani, W., Møller, M. H., Alshamsi, F., Azevedo, L. C. P., Belley-Cote, E., De Waele, J., Derde, L., Dionne, J. C., et al. (2026) · Critical Care Medicine · doi:10.1097/ccm.0000000000007075 · Cited by 117 · see citing works
Society for Maternal-Fetal Medicine Consult Series #67: Maternal sepsis
Shields, A. D., Plante, L. A., Pacheco, L. D., & Louis, J. M. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.05.019 · Cited by 79 · see citing works
Toker, A. K., Köse, Ş., & Türken, M. (2021) · Eurasian Journal of Medicine · doi:10.5152/eurasianjmed.2021.20081 · Cited by 68 · see citing works
Thursky, K., Lingaratnam, S. M., Jayarajan, J., Haeusler, G. M., Teh, B. W., Tew, M., Venn, G., Hiong, A., Brown, C., Leung, V. K. Y., et al. (2018) · BMJ Open Quality · doi:10.1136/bmjoq-2018-000355 · Cited by 66 · see citing works
Kijpaisalratana, N., Sanglertsinlapachai, D., Techaratsami, S., Musikatavorn, K., & Saoraya, J. (2022) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2022.104689 · Cited by 65 · see citing works
Koch, C., Edinger, F., Fischer, T., Brenck, F., Hecker, A., Katzer, C., Markmann, M., Sander, M., & Schneck, E. (2020) · World Journal of Emergency Surgery · doi:10.1186/s13017-020-00343-y · Cited by 62 · see citing works
Adégbitè, B. R., Edoa, J. R., Ndoumba, W. N., Mbadinga, L. B. D., Mombo‐Ngoma, G., Jacob, S. T., Rylance, J., Hänscheid, T., Adégnika, A. A., & Grobusch, M. P. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2021.101184 · Cited by 59 · see citing works
Anand, V., Zhang, Z., Kadri, S. S., Klompas, M., & Rhee, C. (2019) · CHEST Journal · doi:10.1016/j.chest.2019.03.032 · Cited by 57 · see citing works
Herwanto, V., Shetty, A., Nalos, M., Chakraborty, M., McLean, A., Eslick, G. D., & Tang, B. (2019) · Critical Care Explorations · doi:10.1097/cce.0000000000000043 · Cited by 58 · see citing works
Weng, J., Hou, R., Zhou, X., Xu, Z., Zhou, Z., Wang, P., Wang, L., Chen, C., Wu, J., & Wang, Z. (2021) · Journal of Translational Medicine · doi:10.1186/s12967-021-03005-y · Cited by 53 · see citing works
Management of Sepsis and Septic Shock: What Have We Learned in the Last Two Decades?
Kamath, S., Altaq, H. H., & Abdo, T. (2023) · Microorganisms · doi:10.3390/microorganisms11092231 · Cited by 53 · see citing works
New guidelines for severe community-acquired pneumonia
Martín‐Loeches, I., & Torres, A. (2021) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000760 · Cited by 48 · see citing works
Liu, Y., Luo, Y., Zhang, X., Shou, S., Gao, Y., Bin, L., Li, C., & Chai, Y. (2019) · Internal and Emergency Medicine · doi:10.1007/s11739-019-02036-0 · Cited by 46 · see citing works
Gando, S., Shiraishi, A., Abe, T., Kushimoto, S., Mayumi, T., Fujishima, S., Hagiwara, A., Shiino, Y., Shiraishi, S., Hifumi, T., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-64314-8 · Cited by 48 · see citing works
Martín-Fernández, M., Roncero, L. M. V., Almansa, R., Gómez-Sánchez, E., Martín, S., Tamayo, E., Esteban-Velasco, M. C., RUIZ-GRANADO, P., Aragón, M. F., Calvo, D., et al. (2020) · BJS Open · doi:10.1002/bjs5.50265 · Cited by 43 · see citing works
qSOFA score for prediction of sepsis outcome in emergency department
Shahsavarinia, K., Moharramzadeh, P., Arvanagi, R. J., & Mahmoodpoor, A. (2020) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.36.4.2031 · Cited by 40 · see citing works
Challenging the One-hour Sepsis Bundle
Kalantari, A., & Rezaie, S. R. (2019) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2018.11.39290 · Cited by 37 · see citing works
Caraballo, C., Ascuntar, J., Hincapié, C., Restrepo, C., Bernal, E., & Jaimes, F. A. (2019) · Revista Brasileira de Terapia Intensiva · doi:10.5935/0103-507x.20190011 · Cited by 36 · see citing works
Liu, M., Chen, J., Gao, M. Q., Zeng, H., Cui, Y., Zhu, Z., & Chen, H. (2021) · Journal of Endourology · doi:10.1089/end.2020.1140 · Cited by 36 · see citing works
Lapp, L., Roper, M., Kavanagh, K., Bouamrane, M.-M., & Schraag, S. (2023) · Journal of Intensive Care Medicine · doi:10.1177/08850666231166349 · Cited by 36 · see citing works
Knack, S. K., Scott, N. L., Driver, B. E., Prekker, M. E., Black, L. P., Hopson, C., Maruggi, E., Kaus, O., Tordsen, W. J., & Puskarich, M. A. (2024) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2024.02.009 · Cited by 35 · see citing works
Franchini, S., Scarallo, L., Carlucci, M., Cabrini, L., & Tresoldi, M. (2018) · Internal and Emergency Medicine · doi:10.1007/s11739-018-1965-0 · Cited by 34 · see citing works
Application Prospect of the SOFA Score and Related Modification Research Progress in Sepsis
Wang, X., Guo, Z., Chai, Y., Wang, Z., Liao, H., Wang, Z., & Wang, Z. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12103493 · Cited by 37 · see citing works
Tian, H., Zhou, J., Weng, L., Hu, X. X., Peng, J., Wang, C.-Y., Jiang, W., Du, X., Xi, X., An, Y., et al. (2019) · Journal of Thoracic Disease · doi:10.21037/jtd.2019.04.90 · Cited by 30 · see citing works
On behalf of Atrium Health ACORN Investigators, Kowalkowski, M., Chou, S.-H., McWilliams, A., Lashley, C., Murphy, S., Rossman, W., Papali, A., Heffner, A., Russo, M., et al. (2019) · Trials · doi:10.1186/s13063-019-3792-7 · Cited by 29 · see citing works
What is new and different in the 2021 Surviving Sepsis Campaign guidelines
Prescott, H. C., & Ostermann, M. (2023) · Medizinische Klinik - Intensivmedizin und Notfallmedizin · doi:10.1007/s00063-023-01028-5 · Cited by 32 · see citing works
The Impact of Sepsis on the Outcomes of COPD Patients: A Population-Based Cohort Study
Chen, C., Lai, C., Wang, Y., Wang, C., Wang, H., Yu, C., & Chen, L. (2018) · Journal of Clinical Medicine · doi:10.3390/jcm7110393 · Cited by 29 · see citing works
Kwon, Y. S., & Baek, M. S. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9030875 · Cited by 29 · see citing works
Ko, R., Kwon, O., Cho, K.-J., Lee, Y. J., Kwon, J., Park, J., Kim, J. S., Kim, A. J., Jo, Y. H., Lee, Y., et al. (2022) · Journal of Korean Medical Science · doi:10.3346/jkms.2022.37.e122 · Cited by 29 · see citing works
Biomarkers of sepsis in pigs, horses and cattle: from acute phase proteins to procalcitonin
López-Martínez, M. J., Franco‐Martínez, L., Martı́nez-Subiela, S., & Cerón, J. M. C. (2022) · Animal Health Research Reviews · doi:10.1017/s1466252322000019 · Cited by 29 · see citing works
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Yu, S. C., Betthauser, K. D., Gupta, A., Lyons, P. G., Lai, A. M., Kollef, M. H., Payne, P. R. O., & Michelson, A. P. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000004875 · Cited by 29 · see citing works
Ramos, J. G. R., Passos, R. D. H., Teixeira, M. B., Gobatto, A. L. N., Coutinho, R. V. D. S., Caldas, J. R., da Guarda, S. N. F., Ribeiro, M. P., & Batista, P. B. P. (2018) · Journal of Critical Care · doi:10.1016/j.jcrc.2018.07.008 · Cited by 27 · see citing works
Pairattanakorn, P., Angkasekwinai, N., Sirijatuphat, R., Wangchinda, W., Tancharoen, L., & Thamlikitkul, V. (2020) · Open Forum Infectious Diseases · doi:10.1093/ofid/ofaa573 · Cited by 27 · see citing works
Schmedding, M., Adégbitè, B. R., Gould, S., Beyeme, J. O., Adégnika, A. A., Grobusch, M. P., & Huson, M. A. M. (2018) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.18-0577 · Cited by 25 · see citing works
Improving clinical outcomes in sepsis and multiple organ dysfunction through precision medicine
Mehta, S., & Gill, S. E. (2019) · Journal of Thoracic Disease · doi:10.21037/jtd.2018.11.74 · Cited by 26 · see citing works
Developing a shared sepsis data infrastructure: a systematic review and concept map to FHIR
Brant, E. B., Kennedy, J. N., King, A. J., Gerstley, L. D., Mishra, P., Schlessinger, D., Shalaby, J., Escobar, G. J., Angus, D. C., Seymour, C. W., et al. (2022) · npj Digital Medicine · doi:10.1038/s41746-022-00580-2 · Cited by 24 · see citing works
Early Diagnosis of Sepsis: The Role of Biomarkers and Rapid Microbiological Tests
Plata-Menchaca, E. P., Ruiz‐Rodríguez, J. C., & Ferrer, R. (2024) · Seminars in Respiratory and Critical Care Medicine · doi:10.1055/s-0044-1787270 · Cited by 25 · see citing works
Monocyte distribution width as part of a broad pragmatic sepsis screen in the emergency department
Malinovska, A., Hinson, J. S., Badaki‐Makun, O., Hernried, B., Smith, A., Debraine, A., Toerper, M. F., Rothman, R. E., Kickler, T. S., & Levin, S. (2022) · Journal of the American College of Emergency Physicians Open · doi:10.1002/emp2.12679 · Cited by 24 · see citing works
Update in Infectious Diseases 2018.
Candel, F. J., Emilov, T., de la Torre, I. D., Ruedas, A., Viñuela-Prieto, J. M., Visiedo, C., Martínez-Jordán, J., López-González, L., Matesanz, M., & Arribi, A. (2018) · Europe PMC (PubMed Central) · Cited by 23 · see citing works
Takada, T., Hoogland, J., Yano, T., Fujii, K., Fujiishi, R., Miyashita, J., Takeshima, T., Hayashi, M., Azuma, T., & Moons, K. G. M. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.11.030 · Cited by 23 · see citing works
Faisal, M., Richardson, D., Scally, A., Howes, R., Beatson, K., Speed, K., & Mohammed, M. A. (2019) · Canadian Medical Association Journal · doi:10.1503/cmaj.181418 · Cited by 22 · see citing works
MR‐ proADM to detect specific types of organ failure in infection
Andrés, C., Andaluz‐Ojeda, D., Cicuéndez, R., Nogales, L., Martín, S., Martín-Fernández, M., Almansa, R., Calvo, D., Esteban-Velasco, M. C., Roncero, L. M. V., et al. (2020) · European Journal of Clinical Investigation · doi:10.1111/eci.13246 · Cited by 22 · see citing works
Zhuang, J., Huang, H., Jiang, S., Liang, J., Liu, Y., & Yu, X. (2023) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-023-02279-0 · Cited by 24 · see citing works
López‐Izquierdo, R., Ibáñez, P., Rodríguez, F. M., Mohedano‐Moriano, A., López, B. P., Maestre-Miquel, C., Viñuela, A., Durantez‐Fernández, C., Villamor, M. Á. C., & Martín‐Conty, J. L. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17228367 · Cited by 21 · see citing works
Prabhakar, S. M., Tagami, T., Liu, N., Samsudin, M. I., Ng, J. C. J., Koh, Z. X., & Ong, M. E. H. (2019) · PLoS ONE · doi:10.1371/journal.pone.0213445 · Cited by 21 · see citing works
Mak, M. H. W., Low, J. K., Junnarkar, S. P., Huey, T. C. W., & Shelat, V. G. (2019) · International Journal of Surgery · doi:10.1016/j.ijsu.2019.10.022 · Cited by 21 · see citing works
Public health programmes for vitamin A deficiency control
Bruins, M. J., & Kraemer, K. (2013) · Community Eye Health Journal · doi:10.56920/cehj.681 · Cited by 20 · see citing works
Mearelli, F., Barbati, G., Casarsa, C., Giansante, C., Breglia, A., Spica, A., Moras, C., Olivieri, G., Occhipinti, A. A., Nardo, M. D., et al. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9041205 · Cited by 21 · see citing works
Lu, J., Dong, Z., Ye, L., Gao, Y., & Zheng, Z. (2025) · PLoS ONE · doi:10.1371/journal.pone.0332525 · Cited by 20 · see citing works
Chang, Y.-C., Fang, Y.-T., Chen, H., Lin, C.-Y., Chang, Y.-P., Chen, Y., Huang, C.-H., Huang, K., Chang, H., Su, M., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029041 · Cited by 21 · see citing works
Back to Basics: Recognition of Sepsis with New Definition
Horák, J., Martínková, V., Raděj, J., & Matějovič, M. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8111838 · Cited by 20 · see citing works
Prospective evaluation of the quickSOFA score as a screening for sepsis in the emergency department
Loritz, M., Busch, H.-J., Helbing, T., & Fink, K. (2020) · Internal and Emergency Medicine · doi:10.1007/s11739-019-02258-2 · Cited by 20 · see citing works
Wang, C., Xu, R., Zhang, Y., Wu, Y., Zhang, T., Dong, X., Zhang, R., & Hu, X. (2022) · BioMed Research International · doi:10.1155/2022/6808239 · Cited by 19 · see citing works
Kaukonen, K.-M., Bailey, M., Pilcher, D. V., Cooper, D. J., & Bellomo, R. (2018) · Journal of Critical Care · doi:10.1016/j.jcrc.2018.04.005 · Cited by 18 · see citing works
[Comparison of four scoring systems for predicting ICU mortality in patients with sepsis].
Hu, C., Hu, B., Li, Z., Yang, X., Song, H., & Li, J. (2020) · PubMed Central · doi:10.12122/j.issn.1673-4254.2020.04.10 · Cited by 18 · see citing works
Contrasting qSOFA and SIRS Criteria for Early Sepsis Identification in a Veteran Population.
Dykes, L. A., Heintz, S. J., Heintz, B. H., Livorsi, D. J., Egge, J. A., & Lund, B. C. (2019) · Europe PMC (PubMed Central) · Cited by 18 · see citing works
Factors associated with inflamm-aging in institutionalized older people
Neto, L. D. O., Tavares, V. D. D. O., Agrícola, P. M. D., de Oliveira, L. P., Sales, M. C., Sena‐Evangelista, K. C. M., Gomes, I. C., Coelho, N. L. G., Pedrosa, L. F. C., & de Lima, K. C. (2021) · Scientific Reports · doi:10.1038/s41598-021-97225-3 · Cited by 17 · see citing works
Lafon, T., Cazalis, M.-A., Vallejo, C., Tazarourte, K., Blein, S., Pachot, A., Laterre, P., Laribi, S., François, B., Textoris, J., et al. (2020) · Annals of Intensive Care · doi:10.1186/s13613-020-00729-w · Cited by 17 · see citing works
Recommendations for antibiotic selection for severe nosocomial infections
Mensa, J., Barberán, J., Ferrer, R., Borges-Sa, M., Sedes, P. R., Maseda, E., Oliver, A., Marco, F., Adàlia, R., Aguilar, G., et al. (2021) · Revista Española de Quimioterapia · doi:10.37201/req/126.2021 · Cited by 16 · see citing works
Antibiotic treatment in patients with sepsis: a narrative review
Plata-Menchaca, E. P., Ferrer, R., Ruiz‐Rodríguez, J. C., Morais, R., & Póvoa, P. M. S. R. (2020) · Hospital Practice · doi:10.1080/21548331.2020.1791541 · Cited by 17 · see citing works
Self-citationNanotechnology Applications in Sepsis: Essential Knowledge for Clinicians
Vasconcelos, I., & Santos, T. (2023) · Pharmaceutics · doi:10.3390/pharmaceutics15061682 · Cited by 19 · see citing works
Boushra, M. N., Miller, S. N., Koyfman, A., & Long, B. (2018) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2018.09.035 · Cited by 14 · see citing works
Fang, W., Huang, C.-H., Chen, Y., Hung, K.-Y., Chang, Y.-C., Lin, C.-Y., Fang, Y.-T., Chang, Y., Chen, H., Huang, K., et al. (2019) · Journal of Critical Care · doi:10.1016/j.jcrc.2019.05.003 · Cited by 13 · see citing works
Chu, S., Seak, C., Su, T., Chaou, C., Tseng, H., & Li, C.-H. (2020) · BMC Infectious Diseases · doi:10.1186/s12879-020-05102-7 · Cited by 14 · see citing works
Liu, X., Huang, Z., Guo, Y., Li, Y., Zhu, J., Wen, J., Gao, Y., & Liu, J. (2025) · Journal of Medical Internet Research · doi:10.2196/71413 · Cited by 13 · see citing works
Frairia, C., Nicolino, B., Secreto, C., Messa, E., Arrigo, G., Busca, A., Cerrano, M., D’Ardìa, S., Dellacasa, C. M., Evangelista, A., et al. (2023) · European Journal Of Haematology · doi:10.1111/ejh.13952 · Cited by 13 · see citing works
Lane, D. J., Lin, S., & Scales, D. C. (2019) · Prehospital Emergency Care · doi:10.1080/10903127.2019.1624901 · Cited by 13 · see citing works
Arabi, Y. M., Alsaawi, A., Zahrani, M., Khathaami, A. M. A., AlHazme, R. H., Mutrafy, A. A., Qarni, A. A. A., Shouabi, A. A., Qasim, E. A., Abdukahil, S. A., et al. (2021) · Trials · doi:10.1186/s13063-021-05562-5 · Cited by 13 · see citing works
Quick Sequential Organ Failure Assessment Is Not Good for Ruling Sepsis In or Out
Kalil, A. C., & Machado, F. R. (2019) · CHEST Journal · doi:10.1016/j.chest.2019.06.003 · Cited by 13 · see citing works
Yoon, J., Kym, D., Hur, J., Cho, Y. S., Chun, W., & Yoon, D. (2023) · PLoS ONE · doi:10.1371/journal.pone.0276597 · Cited by 12 · see citing works
Saito, A., Osawa, I., Shibata, J., Sonoo, T., Nakamura, K., & Goto, T. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282148 · Cited by 12 · see citing works
Identification of Risk Factors and Prediction of Sepsis in Pregnancy Using Machine Learning Methods
Kopanitsa, G., Metsker, O., Paskoshev, D. D., & Greschischeva, S. (2021) · Procedia Computer Science · doi:10.1016/j.procs.2021.10.040 · Cited by 12 · see citing works
Bischop, L. A., Wilson, D., Wise, R., Savarimuthu, S. M., & Anesi, G. L. (2021) · African Journal of Thoracic and Critical Care Medicine · doi:10.7196/ajtccm.2021.v27i4.158 · Cited by 12 · see citing works
Chen, Q., Shao, J., Liu, W., Wang, H., Liu, L., Gu, X., & Zheng, R. (2019) · Chinese Medical Journal · doi:10.1097/cm9.0000000000000166 · Cited by 12 · see citing works
50 Years of Sepsis Investigation/Enlightenment Among Adults—The Long and Winding Road
Dellinger, R. P., Levy, M. M., Schorr, C., & Townsend, S. R. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005203 · Cited by 12 · see citing works
Lafon, T., Weingart, M., Vaidie, J., Calfee, C. S., Jacob, S. T., Freund, Y., Shapiro, N. I., Barraud, O., Monneret, G., van der Poll, T., et al. (2026) · EClinicalMedicine · doi:10.1016/j.eclinm.2026.103864 · Cited by 13 · see citing works
Song, D. S., Kim, H. Y., Jung, Y. K., Kim, T. H., Yim, H. J., Yoon, E. L., Suk, K. T., Yoo, J., Kim, S. G., Kim, M. Y., et al. (2024) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2023.0563 · Cited by 11 · see citing works
Preventing, identifying, and managing sepsis in the community: research and clinical priorities
Rudd, K. E., Randolph, A. G., Angus, D. C., Bauer, M. W., Chesley, C. F., Filbin, M. R., Jenq, G. Y., Kempker, J. A., Levine, A. C., Levy, P. D., et al. (2025) · The Lancet Primary Care · doi:10.1016/j.lanprc.2025.100010 · Cited by 11 · see citing works
Petit, J., Passerieux, J., Maître, O., Guérin, C., Rozelle, C., Cordeau, O., Cassonnet, A., Malet, A., Boulain, T., Barbier, F., et al. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.05.022 · Cited by 11 · see citing works
Improving the diagnosis and prognosis of sepsis according to the sources of infection
Mendoza, D., Ascuntar, J., Rosero, O., & Jaimes, F. A. (2022) · Emergency Medicine Journal · doi:10.1136/emermed-2021-211910 · Cited by 11 · see citing works
Polilli, E., Iorio, G. D., Silveri, C., Angelini, G., Anelli, M. C., Esposito, J. E., D’Amato, M., Parruti, G., & Carinci, F. (2022) · BMC Infectious Diseases · doi:10.1186/s12879-022-07803-7 · Cited by 11 · see citing works
Pan, Y.-H., Tsai, H., Lin, H.-A., Chen, C., Chao, C.-C., Lin, S., & Hou, S. (2024) · Diagnostics · doi:10.3390/diagnostics14090918 · Cited by 13 · see citing works
Maternal sepsis: new concepts, new practices
Foeller, M. E., & Gibbs, R. S. (2019) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0000000000000523 · Cited by 11 · see citing works
da Silva, L. M. F., Diogo, L. P., Vieira, L. B., Michielin, F. D. C., Santarém, M. D., & Machado, M. L. P. (2021) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.4722.3479 · Cited by 11 · see citing works
Patients with Bacterial Sepsis Are Heterogeneous with Regard to Their Systemic Lipidomic Profiles
Mosevoll, K. A., Hansen, B., Gundersen, I. M., Reikvam, H., Bruserud, Ø., Bruserud, Ø., & Bruserud, Ø. (2022) · Metabolites · doi:10.3390/metabo13010052 · Cited by 11 · see citing works
- Authors
- Serafim, R., Gomes, J. A., Salluh, J., & Póvoa, P.
- Affiliations
- Universidade Federal do Rio de Janeiro (BR)
- Hospital da Luz (PT)
- Hospital de Egas Moniz (PT)
- Corresponding author
- Póvoa, Pedro
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 153
- Issue
- 3
- Pages
- 646-655
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W2783656375
- Cited by
- 274
- References
- 30
- Citations by year
- 2026: 24 · 2025: 24 · 2024: 35 · 2023: 34 · 2022: 28 · 2021: 36 · 2020: 33 · 2019: 41 · 2018: 18 · 2013: 1
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Keywords
- sepsis, qSOFA, systemic inflammatory response syndrome, sepsis diagnosis, mortality prediction, sensitivity and specificity, Sepsis-3, length of hospital stay, diagnostic accuracy, sepsis severity scoring, non-ICU patients
- MeSH terms
- Humans, Predictive Value of Tests, Hospital Mortality, Systemic Inflammatory Response Syndrome, Sepsis, Organ Dysfunction Scores
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