Revised National Estimates of Emergency Department Visits for Sepsis in the United States.
Revised National Estimates of Emergency Department Visits for Sepsis in the United States.
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DOI：
10.1097/ccm.0000000000002538
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发表时间：
2017-09
影响因子：
8.8
通讯作者：
Donnelly JP
中科院分区：
文献类型：
--
作者：
Wang HE;Jones AR;Donnelly JP
The Emergency Department (ED) is an important venue for initial sepsis recognition and care. We sought to determine contemporary estimates of the epidemiology of United States (US) ED visits for sepsis. Analysis of data from the National Hospital Ambulatory Medical Care Survey. US Emergency Departments visits, 2009–2011. Adult (age≥18 years) ED sepsis patients. We defined serious infection as an ED diagnosis of a serious infection or a triage temperature >38 °C or <36 °C. We defined three ED sepsis classifications: 1) [Original ED Sepsis] serious infection + ED diagnosis of organ dysfunction, endotracheal intubation, or systolic blood pressure ≤90 mmHg, or explicit sepsis ED diagnoses; 2) [qSOFA ED Sepsis] serious infection + presence of ≥2 “quick” Sepsis-related Organ Failure Assessment (qSOFA) criteria (Glasgow Coma Scale ≤14, respiratory rate ≥22 breaths/min, or systolic blood pressure ≤100 mmHg); and 3) [Revised ED Sepsis] Original or qSOFA ED Sepsis. None We used survey design and weighting variables to produce national estimates of annual adult ED visits using updated sepsis classifications. Over 2009–2011, there were 103,257,516 annual adult ED visits. The estimated number of ED sepsis visits were: 1) Original ED Sepsis 665,319 (0.64%; 95% CI 0.57–0.73); 2) qSOFA ED Sepsis 318,832 (0.31%; CI 0.26–0.37); and 3) Revised ED Sepsis 847,868 (0.82%; 95% CI 0.74–0.91). Sepsis continues to present a major burden to US Emergency Departments, affecting up to nearly 850,000 ED visits annually. Updated sepsis classifications may impact national estimates of ED sepsis epidemiology.
