Development and External Validation of an Automated Computer-Aided Risk Score for Predicting Sepsis in Emergency Medical Admissions Using the Patient's First Electronically Recorded Vital Signs and Blood Test Results.

作者: Muhammad Faisal , Andy Scally , Donald Richardson , Kevin Beatson , Robin Howes

DOI: 10.1097/CCM.0000000000002967

关键词: Emergency admissionFramingham Risk ScoreExternal validationBlood testEmergency medicineVital signsComputer-aidedSepsisLogistic regressionMedicine

摘要: Objectives:To develop a logistic regression model to predict the risk of sepsis following emergency medical admission using patient’s first, routinely collected, electronically recorded vital signs and blood test results validate this novel computer-aided model, data

参考文章(26)
Elizabeth Slade, Pritpal S Tamber, Jean-Louis Vincent, The Surviving Sepsis Campaign: raising awareness to reduce mortality Critical Care. ,vol. 7, pp. 1- 2 ,(2003) , 10.1186/CC1876
J. -L. Vincent, R. Moreno, J. Takala, S. Willatts, A. De Mendonça, H. Bruining, C. K. Reinhart, P. M. Suter, L. G. Thijs, The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Medicine. ,vol. 22, pp. 707- 710 ,(1996) , 10.1007/BF01709751
Gary B. Smith, David R. Prytherch, Paul Schmidt, Peter I. Featherstone, Debbie Knight, Gill Clements, Mohammed A. Mohammed, Hospital-wide physiological surveillance–A new approach to the early identification and management of the sick patient Resuscitation. ,vol. 71, pp. 19- 28 ,(2006) , 10.1016/J.RESUSCITATION.2006.03.008
Xavier Robin, Natacha Turck, Alexandre Hainard, Natalia Tiberti, Frédérique Lisacek, Jean-Charles Sanchez, Markus Müller, pROC: an open-source package for R and S+ to analyze and compare ROC curves BMC Bioinformatics. ,vol. 12, pp. 77- 77 ,(2011) , 10.1186/1471-2105-12-77
David R. Prytherch, Gary B. Smith, Paul Schmidt, Peter I. Featherstone, Kate Stewart, Debbie Knight, Bernie Higgins, Calculating early warning scores—A classroom comparison of pen and paper and hand-held computer methods Resuscitation. ,vol. 70, pp. 173- 178 ,(2006) , 10.1016/J.RESUSCITATION.2005.12.002
Daniel J. Silcock, Alasdair R. Corfield, Paul A. Gowens, Kevin D. Rooney, Validation of the National Early Warning Score in the prehospital setting Resuscitation. ,vol. 89, pp. 31- 35 ,(2015) , 10.1016/J.RESUSCITATION.2014.12.029
M Edwards, H McKay, C Van Leuvan, I Mitchell, Modified Early Warning Scores: inaccurate summation or inaccurate assignment of score? Critical Care. ,vol. 14, pp. 257- ,(2010) , 10.1186/CC8489
Mohammed A Mohammed, Ruth Hayton, Gill Clements, Gary Smith, David Prytherch, Improving accuracy and efficiency of early warning scores in acute care British journal of nursing. ,vol. 18, pp. 18- 24 ,(2009) , 10.12968/BJON.2009.18.1.32072
Rachel J Jolley, Keri Jo Sawka, Dean W Yergens, Hude Quan, Nathalie Jetté, Christopher J Doig, None, Validity of administrative data in recording sepsis: a systematic review Critical Care. ,vol. 19, pp. 139- 139 ,(2015) , 10.1186/S13054-015-0847-3
M. A Mohammed, J. J Deeks, A. Girling, G. Rudge, M. Carmalt, A. J Stevens, R. J Lilford, Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitals BMJ. ,vol. 338, pp. 817- 820 ,(2009) , 10.1136/BMJ.B780