Triage Category 3 (Urgent)
Conditions
Keywords
National Early Warning Score (NEWS), Lactate, Emergency Department
Brief summary
To validate the NEWS and rapid lactate testing for early identification of high risk \[triage Category 3 (urgent)\] patients in the Emergency Department. To compare qSOFA and SIRS criteria in patients in the Emergency Department.
Detailed description
Background: Sepsis is a potentially life-threatening complication of an infection. Early identification and early intervention are two main elements in improving patient care. Objectives: 1. To validate the NEWS and rapid lactate testing for early identification of high risk \[triage Category 3 (urgent)\] patients in the Emergency Department. 2. To compare qSOFA and SIRS criteria in patients in the Emergency Department. Study design: This is a prospective, cohort study. Patients aged 18 or above presenting to the ED triaged as Category 3 (urgent) will be recruited. The required data for calculating NEWS will be collected at triage and triage lactate level will be measured by point-of-care analyzer. Outcomes: The primary outcome is referral for intensive care unit (ICU) admission during the patient's ED stay. The secondary outcomes are length of stay in hospital (LOS), hospital admission, admission to ICU, length of ICU-free admission (defined as days alive outside the ICU from admission to day 30) 30-day mortality and time to processes-of-care.
Interventions
None listed
Sponsors
Chinese University of Hong Kong
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years or above who are triage category 3 in emergency department * Presenting to emergency department between 9am and 4pm, Monday to Friday
Exclusion criteria
* Aged below 18 years * Pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30-day mortality | 30 days after recruitment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| length of stay in hospital (LOS) | 30 days after recruitment | — |
| hospital admission | 30 days after recruitment | — |
| referral for intensive care unit (ICU) admission | 24 hr after recruitment | — |
| length of ICU-free admission | 30 days after recruitment | — |
| time to processes-of-care | 24 hr after recruitment | time to lactate measured, time to antibiotics admission, time to blood culture obtained, time to fluid resuscitation, time to vasopressor administration from ED arrival |
| admission to ICU | 30 days after recruitment | — |
Countries
Hong Kong
Outcome results
None listed