Clinical Intuition for PRedicting Evolution in Sepsis in the Emergency Department - CIPRES-ED Study

Clinical Intuition for PRedicting Evolution in Sepsis in the Emergency Department - CIPRES-ED Study

Sepsis is a syndrome involving infection and an abnormal systemic inflammatory response in the infected organism, resulting in organ dysfunction and possibly death. It is a major cause of hospital mortality. A large proportion of sepsis diagnoses are made in emergency departments. Early diagnosis and appropriate treatment have been shown to reduce mortality from this disease.

In a context of limited resources, it is therefore important to be able to quickly stratify patients presenting to the emergency department with a suspected infection into those who require rapid and intensive management because they are at risk of developing sepsis and septic shock and those who can be managed conventionally The objective of this study is to compare the clinical intuition of emergency room physicians and nurses with the qSOFA score to predict the clinical course of patients presenting to the emergency room with potential sepsis.

Inclusion Criteria:

• Patients presenting to one of the participating emergency departments with suspected infection, defined as the presence of at least one of these parameters:

Temperature ≥ 38°C ou < 36°C measured in the emergency room Chills (in the emergency room or on recent history)

• No objection to participation in the study

Exclusion Criteria:

• Minor patient (<18 years)
• Patient under guardianship or other protective measure
• Patient unable to understand research information
• Patient refusing the use of their data for research purposes