The Available Criteria for Different Sepsis Scoring Systems in the Emergency Department-A Retrospective Assessment.
Citation: Open Access Emergency Medicine. 13:91-96, 2021.PMID: 33688278Institution: MedStar Institute for InnovationDepartment: National Center for Human Factors in HealthcareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021ISSN:- 1179-1500
- Bonk, Christopher Miller, Kristen:
- https://orcid.org/0000-0003-4670-2107 https://orcid.org/0000-0002-8991-2342 https://orcid.org/0000-0003-4670-2107 https://orcid.org/0000-0002-8991-2342 Bonk, Christopher Miller, Kristen:
- https://orcid.org/0000-0003-4670-2107 https://orcid.org/0000-0002-8991-2342 https://orcid.org/0000-0003-4670-2107 https://orcid.org/0000-0002-8991-2342
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 33688278 | Available | 33688278 |
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. Copyright © 2021 Ramdeen et al.
DESIGN: Retrospective data analysis study.
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.
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).
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.
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.
SETTING: ED of MedStar Washington Hospital Center (MWHC), a 912-bed urban, tertiary hospital.
English