Abstract

PurposeTo determine the predictive value of qSOFA (quick Sequential Organ Failure Assessment) in Malawian patients with suspected infection.MethodsProspective observational study in a tertiary referral hospital in Malawi.ResultsPredictive ability of qSOFA was reasonable [AUROC 0.73 (95% CI 0.68–0.78)], increasing to 0.77 (95% CI 0.72–0.82) when classifying all patients with altered mental status as high risk. Adding HIV status as a variable to the qSOFA score did not improve predictive value.ConclusionqSOFA is a simple tool that can aid risk stratification in resource-limited settings.

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