The Role of the Quick Sequential Organ FailureAssessment Score (qSOFA) in the Pre-HospitalizationPrediction of Coronavirus Disease 2019 (COVID-19)Prognosis

Abstract

Objective: Researchers have been investigating numerous biomarkers and scoring systems to predict the prognosis of coro navirus disease 2019 (COVID-19). We aimed to determine the effectiveness of the quick sequential organ failure assessment(qSOFA) scoring system in pre-hospital emergency health care for predicting COVID-19 prognosis in terms of the intensivecare unit (ICU) admission and mortality. Materials and Methods: We enrolled 9850 patients suspected to have COVID-19 who were transferred by 112 emer gency medical services (EMS) between April 1, 2020 and July 1, 2020. Demographic and clinical data of the patients wereobtained from the Ankara Emergency Health Services Automation System. The qSOFA score was calculated based on thedata obtained from the ambulance medical records. Results: The 28-day mortality rate was 6.2% (n=13) and the cut-off for the qSOFA score was >1 [area under the curve (AUC)=0.955, sensitivity 84.62%, specificity 90.4%, p1 (AUC=0.942; sensitivity 97.37%; specificity 84.97%; p