Assessment of Clinical Criteria for Sepsis For the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)
Journal Club Summary
This is a retrospective cohort study that looked to validate the use current sepsis scores (SOFA, SIRS, LODS) as clinical criteria for sepsis, and to derive and validate a new, simple clinical score, qSOFA which includes RR, BP and GCS, that can be calculated with information that can be gathered quickly at the bedside. They were able to collect a large amount of encounters encompassing different types of population adding to the robustness of the derivation and validation. However, it was only validated retrospectively and not prospectively. Currently, the Sepsis-3 guideline, including qSOFA, is not endorses by SAEM or ACEP, given emergency physicians were not involved in the task force.
By: Dr. Isabelle Miles