The authors expressed concern that basing hospital accreditation and reimbursement on use of SEP-1 interventions for all septic patients will transform unproven practices into universal care and potentially harm patients.
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The current definition of sepsis is not well known by most physicians. Many think a diagnosis requires positive blood cultures and is associated with an extremely grim prognosis, but this is no longer so.
New definitions of sepsis and septic shock represent a radical departure from previous criteria.
New-onset afib in sepsis related to sepsis risk factors, review finds | ACP Hospitalist Weekly | ACP Hospitalist
Corticosteroid use, right-heart catheterization, fungal infection, vasopressor use, and a mean arterial pressure target of 80 to 85 mm Hg were associated with a greater than 50% increase in atrial fibrillation risk.
If physicians do not follow severe sepsis management measure definitions, a deficiency in the quality of care for severe sepsis management could be reported to the CDC and CMS.
Machine learning model predicts sepsis in ICU patients up to 12 hours before diagnosis | ACP Hospitalist Weekly | ACP Hospitalist
The next step for the tool will be to have its clinical utility analyzed in a prospective study, with the goal of having patients treated with IV antibiotics, fluids, and other adjunct therapies according to a reliable estimate of how likely they
Multiple studies evaluated strategies to detect critical illness, particularly sepsis, in non-ICU patients, in a supplement to the November Journal of Hospital Medicine.
Diagnostic criteria are often misapplied.
Mortality higher in severe sepsis patients whose procalcitonin doesn't go down | ACP Hospitalist Weekly | ACP Hospitalist
The study evaluated the relationship between 28-day mortality and a procalcitonin decrease of more than 80% between baseline and hospital day 4 in ICU patients with severe sepsis or septic shock.