Sepsis
Conditions
Keywords
screening, qSOFA, sepsis, Emergency care unit
Brief summary
The Quick-SOFA score (qSOFA), identifies septic patients with a mortality risk higher than 10%. In our study all adult patients coming to the emergency for suspected infection are screened according to the qSOFA score on arrival. If qSOFA ≥ 2, the patient should be referred to emergency vital room, if the score \<2, the patient will be in the box. The objectives are : 1) to evaluate the mortality at 28 days with the orientation, 2) to compare support time of medical contact and initiation of antibiotics according to the orientation in the emergency department.
Interventions
PROCEDUREemergency vital room
At the arrival of the patient, the qSOFA will be carried out to guide the orientation. Patient with score ≥ 2 will be supported in emergency vital room
PROCEDUREbox
patient with score \< 2 will be supported in box
Sponsors
Centre Hospitalier Universitaire de Besancon
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* body temperature below 36 °C or above 38 °C * require hospitalization
Exclusion criteria
* hospital transfer, * patients with pre hospital care * language barrier, * refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mortality rate | 28 days | compare mortality rate with orientation in emergency |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| support time to medical contact | 1 day | compare support time with orientation of patients according to the orientation of the patient in the emergency department |
| support time to initiation of antibiotics | 1 day | compare support time with initiation antibiotics of patients according to the orientation of the patient in the emergency department |
Countries
France
Outcome results
None listed