Bayer et al reported the Prehospital Early Sepsis Detection (PRESEP) score for detection of a septic patient in a prehospital setting. This can alert EMT personnel to a patient who may require more aggressive management. The authors are from Jena University Hospital in Germany.
Patient selection: sick patient in the community, with emergency response team called
Parameters:
(1) body temperature in °C
(2) oxygen saturation in percent
(3) respiratory rate in breaths per minute
(4) heart rate in beats per minute
(5) systolic blood pressure in mm Hg
|
Parameter |
Finding |
Points |
|
body temperature |
< 36°C |
1 |
|
|
36 to 38°C |
0 |
|
|
> 38°C |
4 |
|
oxygen saturation |
>= 92% |
0 |
|
|
< 92% |
2 |
|
respiratory rate |
<= 22 breaths per minute |
0 |
|
|
> 22 breaths per minute |
1 |
|
heart rate |
<= 90 beats per minute |
0 |
|
|
> 90 beats per minute |
2 |
|
systolic blood pressure |
>= 90 mm Hg |
0 |
|
|
< 90 mm Hg |
2 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 11
• The higher the score the more likely that the patient is septic.
• A score >= 4 indicates a patient who may have sepsis.
Performance:
• For a cutoff >= 4 the sensitivity was 85% and specificity 86%.
• The area under the ROC curve was 0.93.
Purpose: To evaluate a patient using the Prehospital Early Sepsis Score (PRESEP) of Bayer et al.
Specialty: Infectious Diseases
Objective: risk factors, clinical diagnosis, including family history for genetics
ICD-10: A39.2, A40, A41, R65,
