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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....
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
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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. |
format | Online Article Text |
id | pubmed-7936926 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
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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