Value of national early warning score, quick sequential organ failure assessment and systemic inflammatory response syndrome score in the evaluation of patients with heat stroke

Abstract

Objective To evaluate national early warning score (NEWS), quick sequential organ failure assessment (qSOFA) and systemic inflammatory response syndrome (SIRS) score in predicting of the severity in patients with heat stroke. Methods NEWS, qSOFA and SIRS score of patients with heat stroke in the Central Hospital of Shenyang Medical College from July 31st to August 5th, 2018 were analyzed retrospectively. Results The age of patients in death group was older than that in survival group significantly (P < 0.05). The scores of NEWS, qSOFA and SIRS of patients in death group was higher than that in survival group significantly (P < 0.05). The relativity study showed a positive correlation between the score of NEWS, qSOFA and SIRS. The AUC of NEWS, qSOFA, and SIRS were 0.884, 0.804 and 0.627 respectively for the predicting of admission into Intensive Care Unit (ICU). The AUC of NEWS, qSOFA and SIRS were 0.972, 0.898, and 0.673 respectively for the predicting death. Conclusions Both NEWS and qSOFA can be used to predicting the admission into ICU and death. The specificity of NEWS is better in predicting of admission into ICU and death, and qSOFA is better in the sensitivity of predicting death. Key words: Heat stroke; Prognosis; National early warning score; Quick sequential organ failure assessment; Systemic inflammatory response syndrome score