Predicting Mortality in ED Patients Admitted for Infection: Which Score to Use?

The Mortality in Emergency Department Sepsis score is simpler and more accurate than others — if you use a score at all.

It is notoriously easy to underestimate the risk to a given patient from sepsis, severe sepsis, or septic shock. Several scoring systems that were originally designed to measure sepsis severity for research have been suggested as useful tools to determine which patients most need advanced resources, such as intensive care unit admission. In a prospective study, researchers compared the predictive value of five sepsis severity scores in nearly 9000 patients admitted from an Australian emergency department (ED) with suspected infection. The scores evaluated were the Mortality in Emergency Department Sepsis (MEDS) score; Simplified Acute Physiology Score II; Acute Physiology and Chronic Health Evaluation II; Sequential Organ Failure Assessment…

Reviewing Author

Daniel M. Lindberg, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportEunice Kennedy Shriver National Institute of Child Health and Human Development; MINDSOURCE

Editorial BoardsThe Quarterly Update: Reviews of Current Child Abuse Medical Research; Child Abuse & Neglect: The International Journal

Leadership Positions in Professional SocietiesThe Helfer Society (Executive Committee Member)

Daniel M. Lindberg, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportEunice Kennedy Shriver National Institute of Child Health and Human Development; MINDSOURCE

Editorial BoardsThe Quarterly Update: Reviews of Current Child Abuse Medical Research; Child Abuse & Neglect: The International Journal

Leadership Positions in Professional SocietiesThe Helfer Society (Executive Committee Member)

Predicting Mortality in ED Patients Admitted for Infection: Which Score to Use?

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Reviewing Author