Patient factors associated with identification of sepsis in the ED

• Published in: The American journal of emergency medicine Vol. 32; no. 10; pp. 1280 - 1281
• Main Authors: Wilson, D.K., MD, Polito, C.C., MD, Haber, M.J., PhD, Yancey, A., MD, MPH, Martin, G.S., MD, MSc, Isakov, A., MD, Anderson, B.J., MD, Kundel, V., MD, Sevransky, J.E., MD, MHS
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.10.2014; Elsevier Limited
• Subjects: Adult; Aged; Antibiotics; Arterial Pressure - physiology; Blood pressure; Body Temperature - physiology; Cohort Studies; Confidence intervals; Emergency; Emergency medical care; Emergency Service, Hospital - statistics & numerical data; Female; Glasgow Coma Scale; Heart Rate - physiology; Humans; Intensive care; Lactic Acid - blood; Leukocyte Count; Logistic Models; Logistics; Male; Middle Aged; Mortality; Multivariate Analysis; Patients; Respiratory Rate - physiology; Retrospective Studies; Sepsis; Sepsis - blood; Sepsis - diagnosis; Sepsis - physiopathology; Shock, Septic - blood; Shock, Septic - diagnosis; Shock, Septic - physiopathology; Temperature
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2014.06.014

Variable at ED presentationa Identified in ED (n = 79) Not identified in ED (n = 44) Pb Age (y) 55.9 (14.8) 55.6 (16.7) .9 Temp (°C) 37.6 (1.5) 36.7 (1.1) <.01 Serum lactate (mmol/L) 4.6 (3.1) 4.4 (3.2) .7 WBC (/L) 12.1 (7.5) 12.3 (7.4) .9 GCS 9.7 (4.5) 10.8 (4.8) .2 MAP (mmHg) 76.6 (20.5) 79.0 (15.8) .5 SOFA score 4.3 (3.5) 3.2 (2.5) .05 Table 1 Analysis of patient factors comparing patients with sepsis identified as septic in the ED and patients with sepsis not identified as septic in the ED Abbreviations: Temp, temperature; WBC, white blood cells; MAP, mean arterial blood pressure; SOFA, sequential organ failure assessment.