qSOFA Calculator
Sepsis Score Assessment
Quickly evaluate the risk of in-hospital mortality for patients with suspected infection. Calculate the qSOFA (Quick Sequential Organ Failure Assessment) score instantly.
Calculate qSOFA Score
Assess sepsis risk using 3 simple clinical criteria.
Glasgow Coma Scale (GCS) score < 15.
Is the breathing rate ≥ 22 breaths per minute?
Is the systolic blood pressure ≤ 100 mmHg?
Total qSOFA Score
What Is the qSOFA Sepsis Score?
The qSOFA (Quick Sequential Organ Failure Assessment) score is a simplified, bedside clinical tool designed to quickly identify adult patients with suspected infection who are at high risk for poor outcomes outside the Intensive Care Unit (ICU).
Unlike more complex scoring systems, it only requires three straightforward clinical criteria, allowing for immediate risk stratification without the need for waiting on laboratory blood tests.
How to Interpret the Results
| qSOFA Score | Risk Level | Clinical Implication | Recommended Action |
|---|---|---|---|
| 0 to 1 | Low Risk | Not identified as high risk for in-hospital mortality. | Continue standard monitoring and care. |
| 2 to 3 | High Risk | 3- to 14-fold increase in hospital mortality rate. | Assess for organ dysfunction, escalate therapy, and consider ICU transfer. |
Altered Mental Status
A Glasgow Coma Scale (GCS) score of less than 15 indicates an altered state of consciousness. This is a critical early warning sign of reduced oxygen flow or systemic distress to the brain.
Respiratory Rate
A breathing rate of 22 breaths per minute or higher (tachypnea) suggests the body is compensating for a severe underlying infection or struggling to oxygenate tissues effectively.
Systolic Blood Pressure
A systolic blood pressure reading of 100 mmHg or lower indicates hypotension, signaling potential circulatory compromise or shock, a life-threatening complication of sepsis.
Clinical Application
qSOFA is not a definitive diagnostic test for sepsis, but rather a "prompt" to flag patients who require closer monitoring and potentially aggressive medical intervention.
What to Do If the Score is High
- 1Seek Immediate Evaluation — If a patient scores a 2 or a 3, they require urgent evaluation by a critical care physician or emergency medical team.
- 2Assess for Organ Dysfunction — Utilize comprehensive scoring systems, like the full SOFA score, which includes laboratory values (bilirubin, creatinine, platelets, etc.) to evaluate specific organ failures.
- 3Monitor Lactate Levels — Checking serum lactate levels can provide further insight into tissue perfusion and the severity of the systemic response.
- 4Escalate Care Resources — Prepare for potential transfer to an intensive care unit (ICU) and begin appropriate protocol-based sepsis interventions (e.g., fluid resuscitation, early antibiotics).
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