Shock Index and Early Recognition of Sepsis in the Emergency Department: Pilot Study

摘要: Methods: We performed a retrospective analysis of cohort adult ED patients at an academic community trauma center with 95,000 annual visits, from February 1st, 2007 to May 28th, 2008. Adult presenting the suspected infection were screened for severe sepsis using standardized institutional electronic order set, which included triage vital signs, basic labora- tory tests and initial serum lactate level. Test characteristics calculated two outcomes: hyperlactatemia (marker morbidity) 28-day mortality. considered following covariates in our analysis: heart rate >90 beats/min; mean arterial pressure 20 breaths/min; ≥ 2 SIRS signs only; ≥2 including white blood cell count; SI 0.7; 1.0. report sensitivities, specificities, positive negative predictive values primary secondary outcomes. Results: 2524 (89.4%) had complete records analysis. 290 (11.5%) presented 361 (14%) died within 28 days. Subjects abnormal 0.7 or greater (15.8%) three times more likely present than those normal (4.9%). The value (NPV) was 95%, identical NPV SIRS. Conclusion: In this cohort, as well most sensitive screening test 1.0 specific predictor both Future research should focus on multi-site validation, implications early identification at-risk resource utilization. (West J Emerg Med 2013;14(2):168-174.)