0
Critical Care: Severe Sepsis and Septic Shock |

Diagnosis Code vs Clinical Criteria: Variable Outcomes in Patients With Severe Sepsis and Septic Shock

Amanda Deis; Bristol Whiles; Patrick Miller; Steven Simpson
Author and Funding Information

University of Kansas School of Medicine, Kansas City, KS


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A187. doi:10.1016/j.chest.2016.02.193
Text Size: A A A
Published online

Extract

SESSION TITLE: Severe Sepsis and Septic Shock

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Saturday, April 16, 2016 at 05:15 PM - 06:15 PM

PURPOSE: To compare outcomes in patients with an ICD9 (995.92 or 785.52) vs patients with a clinical definition of severe sepsis without a diagnosis code.

METHODS: This is a retrospective cohort of patients with severe sepsis or septic shock admitted through the emergency department (ED) between 3/1/07-10/1/14. Criteria for severe sepsis required ≥1 of the following: a) ICD9 995.92, b) increased serum lactate, or c) ≥2 organ dysfunction sites (identified by ICD9 code or laboratory values). Criteria for septic shock required ≥1 of the following: a) ICD9 785.52, b) SBP<90, and/or c) MAP<65. Patients with severe sepsis and septic shock were analyzed separately.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543