Predictive value of the quick Sequential Organ Failure Assessment Score (qSOFA) for in-hospital mortality in adult trauma patients

Document Type : Original Article


1 Department of Emergency Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Faculty of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran



Background: Recognizing and determining severe trauma is essential for choosing the appropriate treatment strategy.
Objectives: The aim of this study was to find the predictive value of the quick sequential organ failure assessment (qSOFA) score for in-hospital mortality in adult trauma patients.
Methods: This prospective observational study was conducted on adult patients with multiple trauma presenting to the emergency department. The qSOFA score was calculated according to the initially recorded variables. The primary outcome was in-hospital mortality. The predictive value of qSOFA was evaluated using the Area Under Receiver Operating Characteristic (AUC) analysis.
Results: Finally, 775 multiple trauma patients with a mean age of 38.68±18.74 were admitted. Of these, 34 people (4.39%) died and 741 subjects were discharged from hospital. The mean qSOFA score was 0.41±0.64, significantly higher in the survived patients than in the non-survived patients (P < 0.001). The AUC of qSOFA score to predict in-hospital mortality was 0.878 (95% confidence interval: 0.853-0.900); thus, qSOFA was a good predictor of in-hospital mortality in multiple trauma patients.
Conclusion: The qSOFA score can be considered a simple and rapid screening tool for identifying multiple-trauma patients.


Articles in Press, Corrected Proof
Available Online from 21 September 2023
  • Receive Date: 27 June 2023
  • Revise Date: 11 August 2023
  • Accept Date: 19 September 2023