Hill et al identified predictors for sepsis in a burn patient. These can help to identify a burn patient with sepsis. The authors are from Firefighters Burn Center and the University of Tennessee in Memphis.
Patient selection: burn patient
Parameters:
(1) temperature in °C
(2) heart rate in beats per minute
(3) change in mean arterial pressure (MAP) in mm Hg
(4) gastric residual volumes
Parameter
Finding
Points
temperature
< 36°C
1
36 to 39°C
0
> 39°C
1
heart rate
<= 130 beats/minute
0
> 130 beats/minute
1
change in MAP
>= 10% decrease
1
other
0
gastric residual volume
>= 2 times the feeding rate
1
< 2 times the feeding rate
0
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
• A score >= 1 is associated with sepsis.
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