Evidence map›Paper›PMID 37074499›Full record

ArticleInternal and emergency medicine2023

Sepsis mortality and ICU length of stay after the implementation of an intensive care team in the emergency department.

Erin Tuttle, Xuan Wang, Ariel Modrykamien

Registry-linked trialAbstract read
In one paragraph

Article in Internal and emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07464054 (Inflammatory and Nutritional Biomarkers Versus Clinical Scores in Predicting Mortality and Severity in Sepsis Patients), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07464054 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Inflammatory and Nutritional Biomarkers Versus Clinical Scores in Predicting Mortality and Severity in Sepsis Patients

TypeobservationalSponsorAssiut UniversityRan2026 to 2027Enrolled61ConditionsInflamatory MarkersArmsBlood samples for aboratory test
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Boarding times of patients admitted to the Emergency Department of an Ethiopian hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
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  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Erin TuttleDivision of Pulmonary and Critical Care Medicine, Baylor University Medical Center, Dallas, TX, USA. erin.tuttle@BSWhealth.org.ORCID 0000-0002-2081-6133
Xuan WangBiostatistics Department, Baylor Scott & White Research Institute, Dallas, TX, USA.
Ariel ModrykamienDivision of Pulmonary and Critical Care Medicine, Baylor University Medical Center, Dallas, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency department patient boarding is associated with hospital mortality and increased hospital length of stay. The objective of the present study is to describe the impact of deploying an Intensive Care team in the ED and its association with sepsis mortality and ICU length of stay. Patients admitted to ICU through the ED with an ICD-10 CM diagnosis of sepsis were included. Preintervention and postintervention phases included 4 and 15 months, respectively. Sepsis time zero, SEP-1 compliance, and lag time from time zero to antibiotic administration were compared. Outcomes of interest were mortality and ICU LOS. 1021 septic patients were included. Sixty-six percent fulfilled compliance with 3 h SEP-1 bundle. Lag time from time zero to antibiotic administration was 75 min. Multivariate analysis showed no association between ICU team in the ED and hospital mortality (Log OR 0.94, CI 0.67-1.34; p = 0.73). The ICU team in the ED was associated with prolonged ICU LOS (Log OR 1.21, CI 1.13-1.30; p < 0.01). Septic shock and ED boarding time were associated with prolonged ICU LOS. Compliance with SEP-1 bundle was associated with its reduction. Implementation of an ICU team in the ED for the treatment of septic patients during high volume hospitalizations is not associated with a reduction of mortality or ICU LOS.

Indexed as

Intensive Care UnitsSepsisAnti-Bacterial AgentsCritical CareEmergency Service, HospitalHospital MortalityHumansLength of StayRetrospective StudiesAnti-Bacterial AgentsEmergency departmentIntensive care unitLength of stayMortalityOutcomes

Identifiers

PMID37074499
PMCPMC10113981

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.