|
KMID : 0385920080190060657
|
|
Journal of the Korean Society of Emergency Medicine
2008 Volume.19 No. 6 p.657 ~ p.664
|
|
|
Early Detection and Prognosis Prediction of Severe sepsis and Septic shock in Emergency Triage Room
|
|
Baek Sung-Hoon
Lee Kyung-Mi
Hong Dae-Young
Han Seung-Baik
Kim Kang-Ho
Kim Jun-Sig
Kim Ji-Yoon
Kim Ji-Hye
Kim Hwan-Cheol
|
|
|
Abstract
|
|
|
Purpose: Early goal-directed therapy in severe sepsis and septic shock improves patient outcomes, and early diagnosis of sepsis is essential for early therapy. We designed this study to identified parameters for early sepsis detection and risk stratification based on initial vital signs.
Methods: We reviewed the medical records of all adult patients without trauma who visited the emergency department at Inha University Hospital between January, 2007, and June, 2007. Patients who met all Systemic Inflammatory Response Syndrome (SIRS) criteria, except white blood cell count, were included and divided into sepsis and non-sepsis groups. All sepsis patients were classified by severity as uncomplicated sepsis, severe sepsis, or septic shock. In addition, all sepsis patients were further classified into two groups by outcome. The parameters were compared based on initial vital signs for each group, and cut-off values were obtained.
Results: There were statistically significant differences in body temperature and shock index (SI) between SIRS nonsepsis and sepsis patients, as well as significant differences in systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and SI between uncomplicated sepsis and complicated sepsis. Differences in SBP, DBP, MAP, pulse rate, respiratory rate, and SI between the survival and non-survival groups were statistically significant.
Conclusion: The results of this study may help emergency physicians detect severe sepsis, septic shock, and high-risk sepsis patients in emergency triage.
|
|
|
KEYWORD
|
|
|
Early diagnosis, Triage, Septic shock, Sepsis, Emergency
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|