Is there a correlation between qSOFA criteria positive patients and microbiology-positive sepsis?

Background & objectives Early sepsis diagnostics is still challenging in emergency department due to variety of symptoms presented. What is more, sepsis rates are still increasing and mortality rates remain significant despite optimal care. Many sepsis scores were created to evaluate risk for sepsis mortality, but recently qSOFA score was released for evaluating risk for mortality due to sepsis without laboratory findings. This study aim was to retrospectively evaluate correlation between microbiologically positive sepsis patients and their qSOFA validity on arrival to emergency department. Methods A retrospective observational study was performed in adult emergency department in tertiary, university-affiliated hospital. Patients were included in study if microbiological test and first antibiotic dose were initiated in emergency department for suspected sepsis and quick SOFA score was calculated. Exclusion criteria was trauma patients and departure to other hospitals. Results Much more patients were suspected for having a sepsis by qSOFA criteria based protocol. Further study results will be presented. Conclusions qSOFA is much promising score with ability not only recognising high risk mortality sepsis patients in hospital but also in emergency department or even pre-hospitaly without using laboratory tests. This study was created for accepting or refusing qSOFA criteria in emergency department, especially in poorly finansed emergency deprtments