P QSOFA

A

Here’s a clear and concise guide for pediatric qSOFA (quick SOFA) scoring. It’s designed for rapid bedside assessment without labs, adapted from adult qSOFA for children.

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Pediatric qSOFA (age-adjusted)

3 parameters (1 point each):

1. Altered mental status

   • GCS < 15 → 1 point

2. Respiratory distress

   • Age-specific tachypnea or need for respiratory support

   • Typically:

     • <1 yr: RR ≥ 60/min

     • 1–5 yr: RR ≥ 40/min

     • 5 yr: RR ≥ 30/min

   • OR requirement for supplemental oxygen → 1 point

3. Hypotension

   • Age-specific MAP below 5th percentile → 1 point

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Scoring

Score	Interpretation
0–1	Low risk of poor outcome
≥2	High risk of morbidity/mortality; requires urgent attention and monitoring

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Key Points

• Quick and bedside-friendly – no labs required

• Sensitivity vs specificity: High sensitivity (detects most children at risk) but lower specificity (more false positives)

• Use: Initial triage in emergency or PICU setting; follow up with pSOFA once labs are available for precise risk stratification

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If you want, I can also create a combined one-page pediatric scoring table with pSOFA and qSOFA side by side, so it’s super easy for ICU use.

Do you want me to do that?