Peer-reviewed veterinary case report
Using quick SOFA score to predict death and hospital stay in dogs
By Donati, Pablo et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2022·UCICOOP·View original on PubMed →
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Original publication title: Retrospective evaluation of the use of quick Sepsis-related Organ Failure Assessment (qSOFA) as predictor of mortality and length of hospitalization in dogs with pyometra (2013-2019): 52 cases.
- Species:
- dog
Plain-English summary
A group of 52 dogs diagnosed with pyometra (a serious infection of the uterus) was evaluated to see how a quick scoring system (qSOFA) could predict their chances of survival and how long they would need to stay in the hospital. It was found that dogs with a qSOFA score of 2 or higher had a significantly higher risk of dying in the hospital and tended to stay longer for treatment. About 65% of the dogs survived to go home, but those with higher scores were hospitalized for an average of 78 hours compared to 48 hours for those with lower scores. This scoring system could help vets assess the severity of the condition and plan treatment better.
People also search for: dog pyometra symptoms · dog qSOFA score meaning · how long does dog pyometra treatment take
Abstract
OBJECTIVE: To evaluate the prognostic utility of quick Sepsis-related Organ Failure Assessment (qSOFA) for prediction of in-hospital mortality and length of hospitalization in dogs with pyometra. DESIGN: Retrospective cohort study from February 2013 to April 2019 SETTING: Tertiary referral hospital ANIMALS: Fifty-two dogs referred with confirmed diagnosis of pyometra INTERVENTIONS: None MEASUREMENTS AND PRINCIPAL OUTCOMES: Sixty-five percent of dogs survived to discharge. A cut-off score of ≥2 for qSOFA was associated with in-hospital mortality (odds ratio 6.51 [95% CI: 1.35 - 31.3]) P = 0.019. The area under the receiver operator characteristic curve for a qSOFA score ≥ 2 for mortality was 0.72 (95% CI: 0.59-0.85), with a sensitivity of 77.8% and a specificity of 66.7%. The mean ± SD number of organs with dysfunction was significantly higher in dogs with a qSOFA score ≥2 1.76 ± 0.83 compared to dogs with a qSOFA score < 2 1.08 ± 1.09, P = 0.015. The presence of a qSOFA score ≥ 2 was associated with a longer time of hospitalization in survivors with a median (interquartile range) length of stay in qSOFA < 2 (48 [33]) hours versus qSOFA score ≥ 2 (78 [52]) hours, P = 0.027. CONCLUSIONS: In dogs with pyometra, the qSOFA score was associated with mortality and length of hospitalization. This score might be useful to improve the risk stratification in dogs with pyometra. Further studies are necessary to evaluate the predictive capacity of qSOFA in other septic patient populations.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35166423/