Abstract：
PURPOSE:Using administrative codes and minimal physiologic and laboratory data, we sought a high-specificity identification strategy for patients whose sepsis initially appeared during their ICU stay. MATERIALS AND METHODS:We studied all patients discharged from an academic hospital between September 1, 2013 and October 31, 2014. Administrative codes and minimal physiologic and laboratory criteria were used to identify patients at high risk of developing the onset of sepsis in the ICU. Two clinicians then independently reviewed the patient record to verify that the screened-in patients appeared to become septic during their ICU admission. RESULTS:Clinical chart review verified sepsis in 437/466 ICU stays (93.8%). Of these 437 encounters, only 151 (34.6%) were admitted to the ICU with neither SIRS nor evidence of infection and therefore appeared to become septic during their ICU stay. CONCLUSIONS:Selected administrative codes coupled to SIRS criteria and applied to patients admitted to ICU can yield up to 94% authentic sepsis patients. However, only 1/3 of patients thus identified appeared to become septic during their ICU stay. Studies that depend on high-intensity monitoring for description of the time course of sepsis require clinician review and verification that sepsis initially appeared during the monitoring period.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Sudduth CL,Overton EC,Lyu PF,Rimawi RH,Buchman TGdoi
10.1016/j.jcrc.2017.01.012subject
Has Abstractpub_date
2017-06-01 00:00:00pages
220-224eissn
0883-9441issn
1557-8615pii
S0883-9441(17)30127-2journal_volume
39pub_type
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journal_title：Journal of critical care
pub_type： 杂志文章,多中心研究,随机对照试验
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