The most commonly used disease severity scores are inappropriate for risk stratification of older emergency department sepsis patients: an observational multi-centre study

The most commonly used disease severity scores are inappropriate for risk stratification of older emergency department sepsis patients: an observational multi-centre study

Sepsis recognition in older emergency department (ED) patients is difficult due to atypical symptom presentation. We therefore investigated whether the prognostic and discriminative performance of the five most commonly used disease severity scores were appropriate for risk stratification of older E...

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Veröffentlicht in:Scandinavian journal of trauma, resuscitation and emergency medicine resuscitation and emergency medicine, 2017-09, Vol.25 (1), p.91-91, Article 91
Hauptverfasser: de Groot, Bas, Stolwijk, Frank, Warmerdam, Mats, Lucke, Jacinta A, Singh, Gurpreet K, Abbas, Mo, Mooijaart, Simon P, Ansems, Annemieke, Esteve Cuevas, Laura, Rijpsma, Douwe
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Analysis
Antibiotics
Blood pressure
Communicable diseases
Comparative analysis
Data collection
Databases, Factual
Diagnosis
Disease severity scores
Distribution
Elderly patients
Emergency medical care
Emergency medical services
Emergency Service, Hospital - statistics & numerical data
Female
Health aspects
Hospital emergency services
Hospital Mortality - trends
Hospitals
Humans
Incidence
Infections
Infectious diseases
Information systems
Male
Middle Aged
Mortality
Netherlands - epidemiology
Observational studies
Older patients
Organ Dysfunction Scores
Original Research
Patients
Prognosis
Quality improvement
Risk Assessment
Risk factors
Risk stratification
ROC Curve
Sepsis
Sepsis - diagnosis
Sepsis - epidemiology
Survival Rate - trends
Vital signs
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Zusammenfassung:Sepsis recognition in older emergency department (ED) patients is difficult due to atypical symptom presentation. We therefore investigated whether the prognostic and discriminative performance of the five most commonly used disease severity scores were appropriate for risk stratification of older ED sepsis patients (≥70 years) compared to a younger control group (
ISSN:1757-7241
1757-7241
DOI:10.1186/s13049-017-0436-3