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Table 2 Clinical tools

From: Low sensitivity of qSOFA, SIRS criteria and sepsis definition to identify infected patients at risk of complication in the prehospital setting and at the emergency department triage

  All patients ICU admission ICU stay ≥ 3 days Mortality at 48 h
N (%) 886 (100) 80 (9) 59 (73.8) 25 (2.8)
Prehospital setting
 qSOFA score ≥ 2 (%) 165 (18.6) 29 (36.3) 8 (13.6) 17 (68.0)
 SIRS criteria (%) 437 (49.3) 55 (68.8) 44 (74.6) 16 (64.0)
 Sepsis definition (%) 234 (26.4) 40 (50.0) 32 (54.2) 13 (52.0)
ED’s triage
 qSOFA score ≥ 2 (%) 149 (16.8) 25 (31.3) 18 (30.5) 15 (60.0)
 SIRS criteria (%) 374 (42.2) 47 (58.8) 34 (57.6) 20 (80.0)
 Sepsis definition (%) 221 (24.9) 34 (42.5) 25 (42.4) 15 (60.0)
  1. Data are presented as n (%)
  2. qSOFA score: ≥2 items: RR ≥22/min; SBP ≤100 mmHg; GCS <15 or decline from baseline. SIRS criteria: ≥2 items: RR >20/min, HR >90/min, temperature ≥ 38.3 °C or <36 °C. Sepsis definition: SIRS criteria plus one of the following item: SBP <90 mmHG, GCS < 15 or decline from baseline, oxygen saturation < 90%
  3. ED emergency department, ICU intensive care unit