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The Quick-SOFA score (qSOFA), identifies septic patients with a mortality risk higher than 10%. In our study all adult patients coming to the emergency for suspected infection are screened according to the qSOFA score on arrival. If qSOFA ≥ 2, the patient should be referred to emergency vital room, if the score <2, the patient will be in the box. The objectives are : 1) to evaluate the mortality at 28 days with the orientation, 2) to compare support time of medical contact and initiation of antibiotics according to the orientation in the emergency department.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients with qSOFA ≥ 2 | Other | adult patients with a qSOFA score ≥ 2 at the screening in the emergency department, will be referred to the emergency vital room |
|
| patients with qSOFA <2 | Other | adult patients with a qSOFA score < 2 at the screening in the emergency department, will be referred to the box |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| emergency vital room | Procedure | At the arrival of the patient, the qSOFA will be carried out to guide the orientation. Patient with score ≥ 2 will be supported in emergency vital room |
| Measure | Description | Time Frame |
|---|---|---|
| mortality rate | compare mortality rate with orientation in emergency | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| support time to medical contact | compare support time with orientation of patients according to the orientation of the patient in the emergency department | 1 day |
| support time to initiation of antibiotics |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Besancon | Besançon | 25000 | France |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| box | Procedure | patient with score < 2 will be supported in box |
|
compare support time with initiation antibiotics of patients according to the orientation of the patient in the emergency department
| 1 day |
| D013568 |
| Pathological Conditions, Signs and Symptoms |