Correlation between initial clinical assessment, SOFA score, and severity of sepsis in children
Abstract
Introduction: The initial clinical evaluation, the adequate stratification of sepsis in children, according to the severity of the disease and the score achieved when applying the SOFA scale are essential to define the behavior and prognosis.
Objective: To identify the correlation between the initial clinical evaluation, the clinical stage and the score obtained when applying the SOFA scale in children admitted for sepsis.
Methods: Clinical exploratory study, at the Guillermo Luis Fernández-Baquero General Hospital in the Moa municipality, Holguín province in the period from January 2021 to December 2022. The population under study was 72 patients with a diagnosis of sepsis. The statistics used were absolute frequency, percentage (%) and arithmetic average. To measure the association, the Chi square test (p
Results: The average age was 4.75 years; 54.17 % belonged to the male sex. When correlating the initial clinical estimate with the clinical stage of sepsis, X2p=26.043 > X2c=16.812 (VC= 0.404). When associating the initial clinical evaluation and the SOFA scale score at admission, it was obtained that X2p=44.253 > X2c=16.812 (VC= 0.826). Between the clinical stage of sepsis and the score achieved when applying the SOFA scale at admission, it was evidenced that X2p=28.557 > X2c=13.277 (VC= 0.623).
Conclusions: There was an association between the data obtained when performing the initial clinical evaluation of the patients, the clinical stage of sepsis on admission and the score achieved on the SOFA scale.
DeCS: SEPSIS/diagnosis; PROGNOSIS; CHILD; ORGAN DYSFUNCTION SCORES; EARLY DIAGNOSIS.
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References
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22 julio 2025