SciELO - Scientific Electronic Library Online

vol.44 número2Acinetobacter Baumannii Multiresistente y su Relación con la Producción de BiopelículasÍndice Tobillo-Brazo como Determinante de Enfermedad Arterial Obstructiva Periférica en Adultos Mayores índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • No hay articulos similaresSimilares en SciELO


Gaceta Médica Boliviana

versión impresa ISSN 1012-2966versión On-line ISSN 2227-3662


COPANA, Raúl et al. SIRS and qSOFA as Predictors of Mortality in Pediatric Sepsis. Gac Med Bol [online]. 2021, vol.44, n.2, pp.154-161. ISSN 1012-2966.


Pediatric sepsis continues to be one of the main causes of mortality in low and middle-income countries, its early recognition in emergencies requires the use of criteria that allow us to predict the severity of the patient.


our study aims to compare the SIRS criteria and qSOFA regarding its discriminatory capacity in mortality in children with sepsis.


a prospective multicenter study was carried out in emergency services enrolling children with suspected sepsis subsequently admitted to the PICU, in which the scores in qSOFA and SIRS were evaluated comparing them with the results at hospital discharge.


64 patients were enrolled, admitted in emergency in Sepsis (19%), Septic Shock (20.6%) and with Multiple Organ Dysfunction (60.4%) stage, with a mortality respectively of 9.5% and 14.3% and 76.2%; germ could be rescued in 33.9% of the cases; Evaluating the SIRS criteria, we see that the absence of them is associated with lower mortality (p = 0.044; OR 0.618: 95% CI 0.502-0.761); otherwise, 2 or more qSOFA criteria are associated with higher mortality (p = 0.047 ; OR 3.52: 95% CI 1.090-11.371).


both criteria used to define sepsis in pediatrics demonstrated their usefulness, the use of the qSOFA score given its close relationship with mortality can be used to anticipate life-threatening organ alterations.

Palabras clave : child; sepsis; qSOFA score; SIRS.

        · resumen en Español     · texto en Español     · Español ( pdf )