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Critical Care: Sepsis Diagnosis and Resuscitation |

SIRS vs qSofa at Presentation in Patients With Diagnosed Severe Sepsis and Septic Shock

Amanda Deis, BS; Bristol Whiles, BA; Steven Simpson, MD
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University of Kansas School of Medicine, Kansas City, KS


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


Chest. 2016;150(4_S):348A. doi:10.1016/j.chest.2016.08.361
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SESSION TITLE: Sepsis Diagnosis and Resuscitation

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Tuesday, October 25, 2016 at 11:00 AM - 12:15 PM

PURPOSE: To identify and compare the frequency of qSOFA and/or SIRS criteria in patients with severe sepsis and to document patient outcomes.

METHODS: Retrospective cohort of patients with severe sepsis and/or septic shock admitted from the ED between 11/2007 - 9/2015. Using an i2b2 interface, all data were extracted from the EMR. All patients met the following inclusion criteria: diagnosed infection, ≥18 years of age, received an antibiotic within 24 hours of triage, had encounter specific discharge disposition codes, and met severe sepsis and/or septic shock criteria. Severe sepsis was defined by: a) presence of 995.92 or b) ICD-9 infection + ≥2 sites of acute organ dysfunction. Septic shock was similarly defined by a) presence of 785.52 or b) met severe sepsis criteria + received a vasopressor or a diagnosis of shock (785.59 or 785.50). We calculated SIRS criteria and qSOFA scores for all patients using any physiologic or laboratory value meeting sepsis threshold definitions that occurred within three hours of ED admission. We also compared outcomes including mortality, readmission in 30 days, and lengths of hospital stay for those meeting or not meeting either SIRS or qSOFA criteria.

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