Research Article

Prognostic Prediction Value of qSOFA, SOFA, and Admission Lactate in Septic Patients with Community-Acquired Pneumonia in Emergency Department

Table 7

Comparisons of severity scores and different outcomes in patients with CAP using qSOFA and lactate.

qSOFA ≥ 2 or lactate > 2 value
Yes (n = 216)No (n = 120)

Severity scores
 CURB653 (2, 4)2 (1, 2)<0.001
 CRB652 (2, 3)1 (1, 2)<0.001
 PSI144 ± 37104 ± 32<0.001
 SOFA4 (3, 6)2 (2, 3)<0.001
 qSOFA2 (2, 3)1 (1, 1)<0.001
 Lactate1.8 (1.2, 2.8)1.2 (1.0, 1.4)<0.001

Primary outcome, n (%)
 28-day mortality83 (38.4)6 (5.0)<0.001

Secondary outcome, n (%)
 ICU admission60 (27.8)1 (0.8)<0.001
 Mechanical ventilation80 (37.0)3 (2.5)<0.001
 Use of vasopressors102 (47.2)6 (5.0)<0.001

Data are presented as n, n (%), or median (QL, QU). CAP: community-acquired pneumonia; CURB65: confusion, urea > 7 mmol/L, respiratory rate ≥ 30/min, blood pressure < 90 mmHg systolic and/or ≤60 mmHg diastolic, and age ≥ 65 years; CRB65: confusion, respiratory rate ≥ 30/min, blood pressure < 90 mmHg systolic and/or ≤60 mmHg diastolic, and age ≥ 65 years; PSI: pneumonia severity index; SOFA: sequential organ failure assessment; qSOFA: quick sequential organ failure assessment; ICU: intensive care unit.