当Sepsis患者出现器官功能障碍时定义为重症感染(severe sepsis),而感染性休克则是severe sepsis的特殊类型,即重症感染导致的循环衰竭,表现为经充分液体复苏仍不能纠正的低血压和组织低灌注[1]。2001年SCCM/欧洲危重病医学会(ESICM)/ACCP等举行了华盛顿联席会议,对Sepsis 1.0进行修订,细化Sepsis
The definition of sepsis is two or more systemic inflammatory response criteria plus a known or suspected infection. Severe sepsis is sepsis with acute organ dysfunction. Acute organ dysfunction can manifest in any organ, and frequently manifests clinically as shock, respiratory failure, acute kidney...
(qSOFA) as a tool to screen infected patients for severe sepsis or septic shock. Infected patients with 2 or more criteria of hypotension, altered mental status, and increased respiratory rate were found to be at risk for the primary outcome of death and the secondary outcome of death with ...
ED records were reviewed for criteria used to classify patients by three levels of infection severity: no systemic inflammatory response syndrome, sepsis, and severe sepsis (SS). The relationships between these classifications as well as certain clinical characteristics and any complicated clinical course...
This article presents updated definitions of and clinical criteria for diagnosing sepsis and septic shock based on recommendations from an expert task
1) SIRS: must have 2 of the main criteria 2) Sepsis: SIRS plus suspected or confirmed infection 3) Severe Sepsis: Sepsis plus sepsis-induced organ dysfunction or tissue hypoperfusion 4) Septic Shock: Sever sepsis plus sepsis-induced hypotension despite adequate fluid resuscitation ...
To support more direct comparison with Sepsis-3, the sepsis and severe sepsis states as defined by Sepsis-2 criteria were combined into an aggregate state. Sepsis-2 clinical state dwell time distributions for the 15,930 patients included in this study (Fig. S4) are shown for non-sepsis, ...
The purpose of this study is to identify additional clinical features for sepsis detection through the use of a novel mechanism for interpreting black-box machine learning models trained and to provide a suitable evaluation for the mechanism. We use the
Severe sepsis and septic shock: management bundle (composite measure) v5.7... Quality Measures. Centers for Medicare & Medicaid Services. Accessed February 20, 2021... Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective...
Severe sepsis exhibits worldwide clinical significance to practitioners and patients due to high associated mortality rates and costs to treat. Merely recording assessment findings may not be enough to identify patients at-risk for deterioration prior to clinical decline, especially with rapid...