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Table 5 Previous assessments of predictive capabilities of sepsis scoring systems

From: Getting the invite list right: a discussion of sepsis severity scoring systems in severe complicated intra-abdominal sepsis and randomized trial inclusion criteria

Population

Inclusion criteria

Scores tested

Outcome 1

Outcome 2 (if applicable)

Ward or ED (n = 380) Szakmany 2017 [39]

NEWS ≥ 3

 

30-day mortality

Organ dysfunction

  

Sepsis-1

68% SENS

 
  

Sepsis-3

86% SENS

 
  

qSOFA ≥ 2

22% SENS

26% SENS

  

SOFA

0.70 AUC

86% SENS

  

SIRS

 

26% SENS

  

Sepsis-1 (severe)

92% SENS

 
  

NEWS > 6

41% SENS

36% SENS

 

0.59 AUC

 

Post-operative ICU patients [44] (n = 50)

Peritonitis + IAS requiring ICU

 

Multivariate Prediction of in-hospital death

  

APACHE II

HR 6.7 [95CI 2.7–17]

 
  

MPI

HR 9.8 095CI 1.3–73]

 
  

SAPS

NS

 
  

SSS

NS

 
  

MOF

NS

 
  

Ranson

NS

 
  

Imrie

NS

 
   

Predictions of death (day 1 SICU)

Post-operative SICU patients (n = 145) Delibegovic 2011 [37]

Non-traumatic secondary peritonitis requiring laparotomy

TISS-28

AUC 0.87

 
  

APACHE II

AUC 0.86

 
  

MODS

AUC 0.83

 
  

SAPS

AUC 0.83

 
  

MPI

AUC 0.72

 
  

SSS

AUC 0.70

 

Abdominal septic shock in ICU (n = 382) Hanisch 2011 [47]

Sepsis-1 criteria [61] for abdominal septic shock

SOFA

Death prediction first 3 ICU days

0.54 AUC

  

APACHE II

 

0.52 AUC

  

SAPS

 

0.52 AUC

  

MODS

 

0.52 AUC

IAS pts requiring SCL (n = 211) Chan [48]

SCL and severe sepsis or septic shock as per Sepsis-1 (61)

APACHE-IV

Predicted mortality rate

0.67 AUC

IAS pts requiting re-laparotomy (n = 34) Das [32]

Secondary peritonitis

APACHE-II

Hospital mortality prediction

0.958 AUC

  

SAPS-II

 

0.955 AUC

  

P-POSSUM

 

0.931 AUC

IAS pts undergoing SCL (n = 221) Van Ruler [50]

APACHE > 10

 

Mortality

Need for Re-Laparotomy

  

APACHE-II

0.74 AUC

0.49 AUC

  

SAPS-II

0.80 AUC

0.56 AUC

  

MPI

0.60 AUC

0.52 AUC

  

SOFA

0.72 AUC

0.55 AUC

  

MODS

0.76 AUC

0.55 AUC

  

APS

0.68 AUC

.60 AUC

  1. ED emergency department; NEWS National Early Warning Score; Sepsis 1 use of the First Sepsis Consensus Definitions [61]; SENS sensitivity; Sepsis-3 use of the Third Sepsis Consensus Definitions [2]; qSOFA quick SOFA score as per Sepsis-3 [2]; SOFA Sepsis-related Organ Failure Assessment [62]; AUC area under the curve of a receiver/operator curve; SIRS Systemic Inflammatory Response Syndrome Criteria as per Sepsis-1 consensus definitions [61]; APACHE II Acute Physiology and Chronic Health Evaluation II [31]; MPI Mannheim Peritonitis Index [41]; SAPS Simplified Acute Physiology Score [33]; SSS Sepsis Severity Score [33]; MOF multiple organ failure [35]; TISS-28 Therapeutic Intervention Scoring System [38]; IAS intra-abdominal sepsis; APACHE-IV Acute Physiology and Chronic Health Evaluation IV [63]; SCL Source Control Laparotomy; SAPS-II Simplified Acute Physiology Score-II [64]; P-POSSUM Physiological and Operative Severity Score for the enumeration of Mortality and morbidity [36]; APS physiological part extracted from APACHE II [31]; MODS Multiple Organ Dysfunction Syndrome