qSOFA = 0

Quick Sequential [Sepsis-Related] Organ Failure Assessment (qSOFA) score is designed to replace SIRS as a marker for sepsis.

 

Evidence of infection with a score increase of ≥ 2 from the patient's baseline = sepsis.

Quick SOFA (qSOFA) was retrospectively derived for patients treated outside of ICUs. It has not been prospectively validated. The goal is to reduce the number of patients being called "septic" based on 2+ SIRS criteria w/ source of infection.

Per the European Society of Intensive Care Medicine and the Society of Critical Care Medicine (2016 Joint Task Force):

"The task force suggests that qSOFA criteria be used to prompt clinicians to further investigate for organ dysfunction, to initiate or escalate therapy as appropriate, and to consider referral to critical care or increase the frequency of monitor- ing, if such actions have not already been undertaken. The task force considered that positive qSOFA criteria should also prompt consideration of possible infection in patients not previously recognized as infected."

 

Singer M et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016; 315(8): 801-810.