Do Sepsis-3 Criteria Facilitate Earlier Recognition of Sepsis and Septic Shock? A Retrospective Cohort Study

BACKGROUND:New Sepsis-3 criteria are supposed to “facilitate earlier recognition … of patients with sepsis.” To test this, we performed novel and direct comparisons of Sepsis-1 vs. Sepsis-3 criteria with respect to time differences of sepsis onset. METHODS:In a cohort of intensive care unit (ICU) pa...

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Veröffentlicht in:Shock (Augusta, Ga.) Ga.), 2019-03, Vol.51 (3), p.306-311
Hauptverfasser: Scheer, Christian S, Kuhn, Sven-Olaf, Fuchs, Christian, Vollmer, Marcus, Modler, Arnd, Brunkhorst, Frank, Shankar-Hari, Manu, Hahnenkamp, Klaus, Gründling, Matthias, Rehberg, Sebastian
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Sprache:eng
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Zusammenfassung:BACKGROUND:New Sepsis-3 criteria are supposed to “facilitate earlier recognition … of patients with sepsis.” To test this, we performed novel and direct comparisons of Sepsis-1 vs. Sepsis-3 criteria with respect to time differences of sepsis onset. METHODS:In a cohort of intensive care unit (ICU) patients prospectively diagnosed with severe sepsis or septic shock according to Sepsis-1 criteria between 01/2010 and 12/2015, the time differences between meeting Sepsis-1 vs. Sepsis-3 criteria as time of sepsis onset and the corresponding differences in illness severity were tested. Similar comparisons were performed for septic shock subset meeting different Sepsis-1 vs. Sepsis-3 criteria. Patients with non-ICU-acquired sepsis and patients with sepsis onset more than 48 h postadmission (ICU-acquired sepsis) were analyzed separately to account for differences in availability of routinely collected organ dysfunction data. RESULTS:A total of 10,905 ICU patients were screened; 862 patients met Sepsis-1 criteria, of whom 834 (97%) also met Sepsis-3 criteria. In patients, admitted to the ICU with sepsis, Sepsis-3 criteria compared with Sepsis-1 criteria were more frequently fulfilled within the first 3 h (84% vs. 75%, P 
ISSN:1073-2322
1540-0514
DOI:10.1097/SHK.0000000000001177