# Analysis of the SOFA score, quick-SOFA, and SIRS criteria in burn patients with infection

## TL;DR

This study evaluates the usefulness of SOFA, qSOFA, and SIRS criteria in predicting mortality among burn patients with suspected infections in intensive care.

## Contribution

The study identifies age, burn severity, and SOFA score as independent risk factors for mortality in burn patients with suspected infection.

## Key findings

- SIRS and SOFA scores did not consistently indicate sepsis in burn patients.
- Age, total body surface area burned, and SOFA score were significant predictors of hospital mortality.
- Most patients with infections showed positive SIRS or SOFA scores at some point.

## Abstract

to evaluate the SOFA score, qSOFA, SIRS criteria, and risk factors for hospital mortality in burn victims with suspected infection admitted to an intensive care unit.

a retrospective longitudinal study conducted at a public hospital between January 2017 and January 2020. We analyzed sepsis diagnostic scores at two time points: hospital admission and date of infection.

of the 279 patients analyzed, 251 developed an infection. Among these, 145 had a positive SIRS score at the time of the burn, and 112 remained positive at the first documented infection. The SOFA score increased in 187 patients following the burn injury, and 34 remained positive at the time of infection.

the scores on the dates of burn injury and infection did not show variations in SIRS or SOFA compatible with sepsis diagnosis. Age, total body surface area burned, and SOFA score were independent risk factors for mortality.

avaliar o escore SOFA, qSOFA, critérios SIRS e fatores de risco para mortalidade hospitalar em vítimas de queimadura com suspeita de infecção internadas em unidade de terapia intensiva.

estudo longitudinal retrospectivo realizado em hospital público entre janeiro de 2017 e janeiro de 2020. Os escores para diagnóstico de sepse foram analisados em dois momentos: na admissão hospitalar e data da infecção.

dos 279 pacientes analisados, 251 tiveram infecção. Entre os pacientes com infecção, 145 pacientes apresentaram SIRS positivo na queimadura, permanecendo 112 positivos na primeira infecção. A variação do escore SOFA foi positiva em 187 pacientes na queimadura, e 34 permaneceram positivos na infecção.

os escores nas datas da queimadura e infecção não mostraram variação de SIRS e SOFA compatível com o diagnóstico de sepse. Idade, superfície corporal queimada e SOFA foram fatores de risco independentes para mortalidade.