Table 1 Clinical Characteristics of Septic Patients for Derivation Cohort & Validation Cohort.
From: Challenges and Opportunities for Emergency Department Sepsis Screening at Triage
Parameter | Derivation Cohort Septic Patients (12-mo interval) | Validation Cohort Septic Patients (3-mo interval) | |
|---|---|---|---|
(n = 141) | (n = 50) | ||
Triage | Age, yrs, median (IQR) | 70 (58–81) | 65 (53–75) |
Febrile (Temp > 100.4 °F) | 29 (21%) | 5 (10%) | |
Heart Rate, bpm, median (IQR) | 104 (84–120) | 97 (78–118) | |
Systolic Blood Pressure, mmHg, median (IQR) | 100 (76–120) | 106 (87–135) | |
Triage SBP < 100 | 70 (50%) | 20 (40%) | |
Triaged to Non-Acute ED Area | 25 (18%) | 3 (6%) | |
tCFI: triage Concern for Infection | In all patients: | n = 141 | n = 50 |
tCFI: Probable | 46 (33%) | 21 (42%) | |
Possible | 95 (67%) | 28 (56%) | |
Unlikely | 0 | 1 (2%) | |
In patients with a Sepsis Risk Factor: | 135 (96%) | 44 (88%) | |
tCFI: Probable | 42 (30%) | 19 (38%) | |
Possible | 93 (66%) | 24 (48%) | |
Unlikely | 0 | 1 (2%) | |
Clinical Details | Documented SBP < 90 in ED | 135 (96%) | 47 (94%) |
Time from Triage to SBP < 90, hours, median (IQR) | 0.7 (0.0–2.5) | 0.7 (0.1–2.1) | |
Total IV Fluids, L, median (IQR) | 3.00 (2.00–4.00) | 2.65 (1.55–3.98) | |
Serum Lactate, mmol/L, median (IQR) | 2.7 (1.7–3.9) | 2.6 (1.9–3.8) | |
SOFA Score, median (IQR) | 9 (7–11) | 9 (7–12) | |
Hospital Mortality | 38 (27%) | 15 (30%) | |
SPoT Vitals | Met SPoT Vital-Signs Criterion in the ED | 141 (100%) | 50 (100%) |
Time from Triage to SPoT, hours, median (IQR) | 0.0 (0.0–0.4) | 0.1 (0.0–0.8) | |
qSOFA Vitals | Met qSOFA Vital-Signs Criterion in the ED | 127 (90%) | 43 (86%) |
Time from Triage to qSOFAa, hours, median (IQR) | 0.6 (0.1–1.8) | 0.7 (0.1–1.4) |
