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Description

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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