GYM score: 30-day mortality predictive model in elderly patients attended in the emergency department with infection

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Juan González Del CastilloRepresenting the Infectious Disease Group of Spanish Emergency Medicine Society

Abstract

To determine the validity of the classic sepsis criteria or systemic inflammatory response syndrome (heart rate, respiratory rate, temperature, and leukocyte count) and the modified sepsis criteria (systemic inflammatory response syndrome criteria plus glycemia and altered mental status), and the validity of each of these variables individually to predict 30-day mortality, as well as develop a predictive model of 30-day mortality in elderly patients attended for infection in emergency departments (ED). A prospective cohort study including patients at least 75 years old attended in three Spanish university ED for infection during 2013 was carried out. Demographic variables and data on comorbidities, functional status, hemodynamic sepsis diagnosis variables, site of infection, and 30-day mortality were collected. A total of 293 patients were finally included, mean age 84.0 (SD 5.5) years, and 158 (53.9%) were men. Overall, 185 patients (64%) fulfilled the classic sepsis criteria and 224 patients (76.5%) fulfilled the modified sepsis criteria. The all-cause 30-day mortality was 13.0%. The area under the curve of the classic sepsis criteria was 0.585 [95% confidence interval (CI) 0.488-0.681; P=0.106], 0.594 for modified sepsis cri...Continue Reading

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Citations

Apr 4, 2017·Enfermedades infecciosas y microbiología clínica·David Redondo-DominguezUNKNOWN en representación del grupo INFURG-SEMES
Jul 30, 2017·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J González Del CastilloUNKNOWN representing the Infectious Disease Group of the Spanish Emergency Medicine Society (see addendum)

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