Implementation of a qSOFA Score in the Emergency Department

Not Applicable

Completed

• Conditions: Sepsis
• Interventions: Procedure: emergency vital room; Procedure: box

• Registration Number: NCT04568746
• Lead Sponsor: Centre Hospitalier Universitaire de Besancon

Brief Summary

The Quick-SOFA score (qSOFA), identifies septic patients with a mortality risk higher than 10%. In our study all adult patients coming to the emergency for suspected infection are screened according to the qSOFA score on arrival. If qSOFA ≥ 2, the patient should be referred to emergency vital room, if the score \<2, the patient will be in the box. The objectives are : 1) to evaluate the mortality at 28 days with the orientation, 2) to compare support time of medical contact and initiation of antibiotics according to the orientation in the emergency department.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-09-24
• Study First Submitted QC: 2020-09-24
• Study First Posted: 2020-09-29
• Study Start: 2020-10-12
• Primary Completion: 2021-10-12
• Study Completion: 2021-11-12
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-15
• Last Update Posted: 2025-01-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 104

Inclusion Criteria

• body temperature below 36 °C or above 38 °C
• require hospitalization

Exclusion Criteria

• hospital transfer,
• patients with pre hospital care
• language barrier,
• refusal to participate

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
patients with qSOFA ≥ 2	emergency vital room	adult patients with a qSOFA score ≥ 2 at the screening in the emergency department, will be referred to the emergency vital room
patients with qSOFA <2	box	adult patients with a qSOFA score \< 2 at the screening in the emergency department, will be referred to the box

Primary Outcome Measures

Name	Time	Method
mortality rate	28 days	compare mortality rate with orientation in emergency

Secondary Outcome Measures

Name	Time	Method
support time to medical contact	1 day	compare support time with orientation of patients according to the orientation of the patient in the emergency department
support time to initiation of antibiotics	1 day	compare support time with initiation antibiotics of patients according to the orientation of the patient in the emergency department

Trial Locations

Locations (1)

Chu Besancon; 🇫🇷 Besançon, France