Abstract
Background Sepsis is a time critical diagnosis and early treatment in the Emergency Department (ED) is essential. A challenge faced by emergency physicians is determining which patients with suspected infection will deteriorate and should be admitted to an intensive care unit (ICU). The aim of this study is to describe the population of ED patients with suspected infection. Further to compare patients who die or are transferred to an ICU within 2 days to those remaining at primary wards.
Highlights
Sepsis is a time critical diagnosis and early treatment in the Emergency Department (ED) is essential
A challenge faced by emergency physicians is determining which patients with suspected infection will deteriorate and should be admitted to an intensive care unit (ICU)
The aim of this study is to describe the population of ED patients with suspected infection
Summary
Sepsis is a time critical diagnosis and early treatment in the Emergency Department (ED) is essential. A challenge faced by emergency physicians is determining which patients with suspected infection will deteriorate and should be admitted to an intensive care unit (ICU). The aim of this study is to describe the population of ED patients with suspected infection. Further to compare patients who die or are transferred to an ICU within 2 days to those remaining at primary wards. Having a suspected infection with unknown focus upon arrival (OR 2.13 [1.42-3.20]). Having more than one in-hospital ward transfer within 48 hours increased the risk of ICU-transfer or death (OR 2.09 [1.34-3.28]). Cases were more likely to fulfill the SIRS criterias compared to controls: Heart rate 105min-1[82;125] vs 92min-1 [80;105], respiratory rate 25min-1[17;32] vs.18min-1 [15;24], WBC 12.9[9.3;19.9] vs 10.8[7.8;14.5] while median temperature was normal both for cases 37.7°C [36.8;38.5] and controls 37.9°C[37.1;38.6]
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