Comparing Prognostic Performance of SEPSIS 2 and SEPSIS 3 Strategies at the Emergency Service

Comparing Prognostic Performance of SEPSIS 2 and SEPSIS 3 Strategies at the Emergency Service

In 2016, the Third International Consensus proposed a new strategy to screen aggravating risk in patients with septic shock. This strategy is based on quick-SOFA and the SOFA score. The main objective is to compare the prognostic performance of SEPSIS 3 against the previous strategy SEPSIS 2 to predict the admission in intensive care unit or the intra-hospital death.

This study compare the prognostic performance of two strategies. It's a monocentric, retrospective study in patients admitted to the emergency department.

Inclusion Criteria:

• Aged of 18 years or more
• Initiation of one or more antibiotics in the Accident and Emergency Department in the Metz-Thionville hospital (CHR) site Mercy, for curative purpose, regardless of the infectious aetiology
• Hospitalized in the CHR Metz-Thionville thereafter

Exclusion Criteria:

• Minors patients
• Absence of antibiotic treatment initiated in the Emergency department
• Prescription of antibiotic treatment in the emergency department for preventive purpose
• Transferred by hospitalisation service of CHR Metz-Thionville in the emergency department
• Absence of hospitalisation following their passage through the emergency department
• Transferred to hospitalisation in an other establishment
• Presence, at the admission, of an antibiotic treatment
• Patients deceased in the emergency department