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The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment

OBJECTIVE: The goal of the study was to assess the criteria availability of eight sepsis scoring methods within 6 hours of triage in the emergency department (ED). DESIGN: Retrospective data analysis study. SETTING: ED of MedStar Washington Hospital Center (MWHC), a 912-bed urban, tertiary hospital....

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Autores principales: Ramdeen, Sanjhai, Ferrell, Brandon, Bonk, Christopher, Schubel, Laura, Littlejohn, Robin, Capan, Muge, Arnold, Ryan, Miller, Kristen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7936926/
https://www.ncbi.nlm.nih.gov/pubmed/33688278
http://dx.doi.org/10.2147/OAEM.S280279
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author Ramdeen, Sanjhai
Ferrell, Brandon
Bonk, Christopher
Schubel, Laura
Littlejohn, Robin
Capan, Muge
Arnold, Ryan
Miller, Kristen
author_facet Ramdeen, Sanjhai
Ferrell, Brandon
Bonk, Christopher
Schubel, Laura
Littlejohn, Robin
Capan, Muge
Arnold, Ryan
Miller, Kristen
author_sort Ramdeen, Sanjhai
collection PubMed
description OBJECTIVE: The goal of the study was to assess the criteria availability of eight sepsis scoring methods within 6 hours of triage in the emergency department (ED). DESIGN: Retrospective data analysis study. SETTING: ED of MedStar Washington Hospital Center (MWHC), a 912-bed urban, tertiary hospital. PATIENTS: Adult (age ≥ 18 years) patients presenting to the MWHC ED between June 1, 2017 and May 31, 2018 and admitted with a diagnosis of severe sepsis with or without shock. MAIN OUTCOMES MEASURED: Availability of sepsis scoring criteria of eight different sepsis scoring methods at three time points—0 Hours (T0), 3 Hours (T1) and 6 Hours (T2) after arrival to the ED. RESULTS: A total of 50 charts were reviewed, which included 23 (46%) males and 27 (54%) females. Forty-eight patients (96%) were Black or African American. Glasgow Coma Scale was available for all 50 patients at T0. Vital signs, except for temperature, were readily available (>90%) at T0. The majority of laboratory values relevant for sepsis scoring criteria were available (>90%) at T1, with exception to bilirubin (66%) and creatinine (80%). NEWS, PRESEP and qSOFA had greater than 90% criteria availability at triage. SOFA and SIRS consistently had the least percent of available criteria at all time points in the ED. CONCLUSION: The availability of patient data at different time points in a patient’s ED visit suggests that different scoring methods could be utilized to assess for sepsis as more patient information becomes available.
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spelling pubmed-79369262021-03-08 The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment Ramdeen, Sanjhai Ferrell, Brandon Bonk, Christopher Schubel, Laura Littlejohn, Robin Capan, Muge Arnold, Ryan Miller, Kristen Open Access Emerg Med Original Research OBJECTIVE: The goal of the study was to assess the criteria availability of eight sepsis scoring methods within 6 hours of triage in the emergency department (ED). DESIGN: Retrospective data analysis study. SETTING: ED of MedStar Washington Hospital Center (MWHC), a 912-bed urban, tertiary hospital. PATIENTS: Adult (age ≥ 18 years) patients presenting to the MWHC ED between June 1, 2017 and May 31, 2018 and admitted with a diagnosis of severe sepsis with or without shock. MAIN OUTCOMES MEASURED: Availability of sepsis scoring criteria of eight different sepsis scoring methods at three time points—0 Hours (T0), 3 Hours (T1) and 6 Hours (T2) after arrival to the ED. RESULTS: A total of 50 charts were reviewed, which included 23 (46%) males and 27 (54%) females. Forty-eight patients (96%) were Black or African American. Glasgow Coma Scale was available for all 50 patients at T0. Vital signs, except for temperature, were readily available (>90%) at T0. The majority of laboratory values relevant for sepsis scoring criteria were available (>90%) at T1, with exception to bilirubin (66%) and creatinine (80%). NEWS, PRESEP and qSOFA had greater than 90% criteria availability at triage. SOFA and SIRS consistently had the least percent of available criteria at all time points in the ED. CONCLUSION: The availability of patient data at different time points in a patient’s ED visit suggests that different scoring methods could be utilized to assess for sepsis as more patient information becomes available. Dove 2021-03-02 /pmc/articles/PMC7936926/ /pubmed/33688278 http://dx.doi.org/10.2147/OAEM.S280279 Text en © 2021 Ramdeen et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Ramdeen, Sanjhai
Ferrell, Brandon
Bonk, Christopher
Schubel, Laura
Littlejohn, Robin
Capan, Muge
Arnold, Ryan
Miller, Kristen
The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment
title The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment
title_full The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment
title_fullStr The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment
title_full_unstemmed The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment
title_short The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department—A Retrospective Assessment
title_sort available criteria for different sepsis scoring systems in the emergency department—a retrospective assessment
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7936926/
https://www.ncbi.nlm.nih.gov/pubmed/33688278
http://dx.doi.org/10.2147/OAEM.S280279
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