Recognition in Emergency Department of Septic Patients at Higher Risk of Death: Beware of Patients without Fever

Recognition in Emergency Department of Septic Patients at Higher Risk of Death: Beware of Patients without Fever

Blog Article

Background and Objectives: Chances of surviving sepsis increase markedly upon prompt diagnosis and treatment.As most sepsis cases initially show-up in the Emergency Department Foundation (ED), early recognition of a septic patient has a pivotal role in sepsis management, despite the lack of precise guidelines.The aim of this study was to identify the most accurate predictors of in-hospital mortality outcome in septic patients admitted to the ED.

Materials and Methods: We compared 651 patients admitted to ED for sepsis (cases) with 363 controls (non-septic patients).A Bayesian mean multivariate logistic regression model was performed in order to identify the most accurate predictors of in-hospital mortality outcomes in septic patients.Results: Septic shock and positive qSOFA were identified as risk factors for in-hospital mortality among septic patients admitted to the ED.

Hyperthermia was a protective factor for in-hospital mortality.Conclusions: Physicians should bear in mind that fever is not a criterium Track Assembly Hardware for defining sepsis; according to our results, absence of fever upon presentation might be indicative of greater severity and diagnosis of sepsis should not be delayed.