ArticleThe American journal of emergency medicine2015
Prehospital recognition of severe sepsis: development and validation of a novel EMS screening tool.
Article in The American journal of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identification of adults with sepsis in the prehospital environment: a systematic review.BMJ open · 2016Pooled it
- Protocol for a multicenter, cluster-randomized, stepped-wedge, implementation trial of a prehospital sepsis protocol.Trials · 2025Article
- The performance of screening tools and use of blood analyses in prehospital identification of sepsis patients and patients suitable for non-conveyance - an observational study.BMC emergency medicine · 2024Observational
- [Sepsis in emergency medical services : A cohort study on screening, incidence, and mortality].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- Article
- Prehospital early warning scores for adults with suspected sepsis: the PHEWS observational cohort and decision-analytic modelling study.Health technology assessment (Winchester, England) · 2024Observational
- Prehospital early warning scores for adults with suspected sepsis: retrospective diagnostic cohort study.Emergency medicine journal : EMJ · 2023Article
- [Sepsis in out-of-hospital emergency medicine].Notfall & rettungsmedizin · 2022Review
- Performance of NEWS2, RETTS, clinical judgment and the Predict Sepsis screening tools with respect to identification of sepsis among ambulance patients with suspected infection: a prospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- The Surviving Sepsis Campaign: research priorities for the administration, epidemiology, scoring and identification of sepsis.Intensive care medicine experimental · 2021Review
- Performance of the interRAI ED Screener for Risk-Screening in Older Adults Accessing Paramedic Services.Canadian geriatrics journal : CGJ · 2021Article
- A boosting inspired personalized threshold method for sepsis screening.Journal of applied statistics · 2021Article
- The predictive value of variables measurable in the ambulance and the development of the Predict Sepsis screening tools: a prospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Observational
- Screening strategies to identify sepsis in the prehospital setting: a validation study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Epidemiology of septic shock in prehospital medical services in five Colombian cities.Revista Brasileira de terapia intensiva · 2020Article
- Prehospital Antibiotics Improve Morbidity and Mortality of Emergency Medical Service Patients with Sepsis.HCA healthcare journal of medicine · 2020Article
- Derivation and internal validation of the screening to enhance prehospital identification of sepsis (SEPSIS) score in adults on arrival at the emergency department.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
- Use of prehospital qSOFA in predicting in-hospital mortality in patients with suspected infection: A retrospective cohort study.PloS one · 2019Observational
- Surviving sepsis campaign: research priorities for sepsis and septic shock.Intensive care medicine · 2018Article
- Development of a Brief Pre-Implementation Screening Tool to Identify Teachers Who Are at Risk for Not Implementing Intervention Curriculum and High-Implementing Teachers.Health education & behavior : the official publication of the Society for Public Health Education · 2017Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo derive and validate a predictive model and novel emergency medical services (EMS) screening tool for severe sepsis (SS).
designRetrospective cohort study.
settingA single EMS system and an urban, public hospital. PATIENTS: Sequential adult, nontrauma, nonarrest, at-risk, EMS-transported patients between January 1, 2011, and December 31, 2012 were included in the study. At-risk patients were defined as having all 3 of the following criteria present in the EMS setting: (1) heart rate greater than 90 beats/min, (2) respiratory rate greater than 20 beats/min, and (3) systolic blood pressure less than 110 mm Hg.
interventionsNone. MEASUREMENTS AND MAIN
resultsAmong 66,439 EMS encounters, 555 met the criteria for analysis. Fourteen percent (n = 75) of patients had SS, of which 19% (n = 14) were identified by EMS clinical judgment. In-hospital mortality for patients with SS was 31% (n = 23). Six EMS characteristics were found to be predictors of SS: older age, transport from nursing home, Emergency Medical Dispatch (EMD) 9-1-1 chief concern category of "sick person," hot tactile temperature assessment, low systolic blood pressure, and low oxygen saturation. The final predictive model showed good discrimination in derivation and validation subgroups (areas under curves, 0.843 and 0.820, respectively). Sensitivity of the final model was 91% in the derivation group and 78% in the validation group. At a predefined threshold of 2 or more points, prehospital severe sepsis (PRESS) score sensitivity was 86%.
conclusionsThe PRESS score is a novel EMS screening tool for SS that demonstrates a sensitivity of 86% and a specificity of 47%. Additional validation is needed before this tool can be recommended for widespread clinical use.
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