Physician documentation of sepsis syndrome is associated with more aggressive treatment

Western Journal of Emergency Medicine

Volumn 16, Issue 3, 2015, Pages 401-407

  Stoneking, Lisa R ^a   Winkler, John P ^b   DeLuca, Lawrence A ^a   Stolz, Uwe ^a   Stutz, Aaron ^c   Luman, Jenifer C ^d,e   Gaub, Michael ^a   Wolk, Donna M ^f   Fiorello, Albert B ^a   Denninghoff, Kurt R ^a  

^a UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE   (United States)

^b SWEDISH MEDICAL CENTER   (United States)

^c Fairchild Medical Center   (United States)

^d ALVARADO HOSPITAL   (United States)

^e Scripps Encinitas Emergency Department   (United States)

^f GEISINGER HEALTH SYSTEM   (United States)

Author keywords

Differential Diagnosis; Documentation; Emergency Department; Sepsis

Indexed keywords

ANTIBIOTIC AGENT; INFUSION FLUID; ANTIINFECTIVE AGENT;

ADULT; ANTIBIOTIC THERAPY; ARTICLE; BLOOD CULTURE; DISEASE SEVERITY; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEMALE; FLUID RESUSCITATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DOCUMENTATION; MEDICAL RECORD; MEDICAL RECORD REVIEW; RETROSPECTIVE STUDY; SEPSIS; SEPTIC SHOCK; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME; DOCUMENTATION; FEVER; FLUID THERAPY; FOLLOW UP; HOSPITAL EMERGENCY SERVICE; HOSPITAL MORTALITY; MORTALITY; PROCEDURES; SEVERITY OF ILLNESS INDEX; STATISTICS AND NUMERICAL DATA; TIME TO TREATMENT;

ANTI-BACTERIAL AGENTS; DOCUMENTATION; EMERGENCY SERVICE, HOSPITAL; FEVER; FLUID THERAPY; FOLLOW-UP STUDIES; HOSPITAL MORTALITY; HUMANS; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; SYSTEMIC INFLAMMATORY RESPONSE SYNDROME; TIME-TO-TREATMENT;

EID: 84929087618     PISSN: 1936900X     EISSN: 19369018     Source Type: Journal    
DOI: 10.5811/westjem.2015.3.25529     Document Type: Article

References (17)

1. Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345:1368-1377.
2. Pro CI, Yealy DM, Kellum JA, et al. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014;370:1683-1693.
3. Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med. 2008;36:296-327.
4. Kumar A, Roberts D, Wood KE, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med. 2006;34:1589-1596.
5. Levy M. Update on Surviving Sepsis Campaign Guidelines (Oral Presentation); 2012; Houston, TX.
6. Moore LJ, Jones SL, Kreiner LA, et al. Validation of a screening tool for the early identifcation of sepsis. J Trauma. 2009;66:1539-1546.
7. Levy MM, Fink MP, Marshall JC, et al. 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Defnitions Conference. Crit Care Med. 2003;31:1250-1256.
8. Dellinger RP, Carlet JM, Masur H, et al. Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock. Crit Care Med. 2004;32:858-873.
9. del Portal DA, Shofer F, Mikkelsen ME, et al. Emergency department lactate is associated with mortality in older adults admitted with and without infections. Acad Emerg Med. 2010;17:260-268.
10. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977.33:159-174.
11. Shapiro NI, Howell MD, Talmor D, et al. Implementation and outcomes of the Multiple Urgent Sepsis Therapies (MUST) protocol. Crit Care Med. 2006;34:1025-1032.
12. Gao F, Melody T, Daniels DF, et al. The impact of compliance with 6-hour and 24-hour sepsis bundles on hospital mortality in patients with severe sepsis: a prospective observational study. Crit Care. 2005;9:R764-770.
13. Nguyen HB, Smith D. Sepsis in the 21st century: recent defnitions and therapeutic advances. Am J Emerg Med. 2007;25:564-571.
14. Levy MM, Dellinger RP, Townsend SR, et al. The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Crit Care Med. 2010;38:367-374.
15. Wolk DM, Fiorello, AB. Code Sepsis: Rapid Methods To Diagnose Sepsis and Detect Hematopathogens. Part II: Challenges to the Laboratory Diagnosis of Sepsis. Clinical Microbiology Newsletter. 2010;32:41-49.
16. Leibovici L, Konisberger H, Pitlik SD. Bacteremia and fungemia of unknown origin in adults. Clin Infect Dis. 1992;14:436-443.
17. Investigators A, Group ACT, Peake SL, et al. Goal-directed resuscitation for patients with early septic shock. N Engl J Med. 2014;371:1496-1506.