Open Access Highly Accessed Brief Research Report

Outcome predictors of uncomplicated sepsis

Ewoud ter Avest1*, Maarten de Jong2, Ineke Brűmmer2, Götz JK Wietasch3 and Jan C ter Maaten2

Author Affiliations

1 Department of Emergency Medicine, Medical Center Leeuwarden, Henry Dunantweg 2, Leeuwarden, 8934 AD, The Netherlands

2 Department of Emergency Medicine, University Medical Center Groningen, Groningen, The Netherlands

3 Department of Anaesthesiology, University Medical Center Groningen, Groningen, The Netherlands

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International Journal of Emergency Medicine 2013, 6:9  doi:10.1186/1865-1380-6-9

Published: 8 April 2013

Abstract

Background

The development of sepsis risk prediction models and treatment guidelines has largely been based on patients presenting in the emergency department (ED) with severe sepsis or septic shock. Therefore, in this study we investigated which patient characteristics might identify patients with an adverse outcome in a heterogeneous group of patients presenting with uncomplicated sepsis to the emergency department (ED).

Findings

We performed a retrospective cohort analysis of all ED patients presenting with uncomplicated sepsis in a large teaching hospital during a 3-month period. During this period, 70 patients fulfilled the criteria of uncomplicated sepsis. Eight died in the hospital. Non-survivors were characterized by a higher abbreviated Mortality in Emergency Department Sepsis (MEDS) score (7.2 ± 3.4 vs. 4.8 ± 2.9, p = 0.03) and a lower Hb (6.6 ± 1.2 vs. 7.7 ± 1.4, p = 0.03), and they used beta-blockers more often (75% vs. 19%, p < 0.01).

Conclusions

Non-survivors of uncomplicated sepsis had on average a higher abbreviated MEDS score, a lower hemoglobin (Hb) and more often used β-blockers compared to survivors. Early identification of these factors might contribute to optimization of sepsis treatment for this patient category and thereby prevent disease progression to severe sepsis or septic shock.

Keywords:
Sepsis; Uncomplicated; Emergency department; Outcome