Liu et al reported the Simple Sepsis Early Prognostic Score (SSEPS) for evaluating a patient with sepsis in the Emergency Department. The score can help to identify a patient with early sepsis who may require more aggressive management. The authors are from Sichuan University and West China Hospital in Chengdu.
Patient selection: sepsis in the Emergency Department
Parameters:
(1) age in years
(2) heart rate in beats per minute
(3) breathing rate in breaths per minute
Parameter
Finding
Points
age in years
< 46 years
0
46 to 59 years
3
60 to 71 years
4
> 71 years
5
heart rate
< 95 beats per minute
0
95 to 107 beats per minute
1
108 to 123 beats per minute
3
> 123 beats per minute
3
respiratory rate
< 21 breaths per minute
0
21 or 22 breaths per minute
1
23 to 25 breaths per minute
2
> 25 breaths per minute
6
altered consciousness
no
0
0
yes
7
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 21
Total Score
Risk Group
28-Day Mortality
0 to 6
low
4%
7 to 9
medium
14%
10 to 21
high
44%
Performance:
• The area under the ROC curve is 0.75.
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