Screening for sepsis in general hospitalized patients: a systematic review

The Journal of Hospital Infection
L AlbertoL M Aitken

Abstract

Sepsis is a condition widely observed outside critical care areas. To examine the application of sepsis screening tools for early recognition of sepsis in general hospitalized patients to: (i) identify the accuracy of these tools; (ii) determine the outcomes associated with their implementation; and (iii) describe the implementation process. A systematic review method was used. PubMed, CINAHL, Cochrane, Scopus, Web of Science, and Embase databases were systematically searched for primary articles, published from January 1990 to June 2016, that investigated screening tools or alert mechanisms for early identification of sepsis in adult general hospitalized patients. The review protocol was registered with PROSPERO (CRD42016042261). More than 8000 citations were screened for eligibility after duplicates had been removed. Six articles met the inclusion criteria testing two types of sepsis screening tools. Electronic tools can capture, recognize abnormal variables, and activate an alert in real time. However, accuracy of these tools was inconsistent across studies with only one demonstrating high specificity and sensitivity. Paper-based, nurse-led screening tools appear to be more sensitive in the identification of septic patients ...Continue Reading

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Citations

Dec 28, 2018·The American Journal of Nursing·Alice FergusonBarbara Williams
Jan 28, 2020·JAMIA Open·Robert C AmlandJ Marc Overhage
Jul 11, 2019·Journal of Nursing Care Quality·David L Threatt
May 22, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Laura AlbertoAndrea P Marshall
Mar 31, 2018·Diagnosis·Mark L GraberStephen Claypool
Aug 19, 2020·Journal of Patient Safety·Bryan M Gale, Kendall K Hall
Dec 29, 2020·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Lauren GrippKerry A Milner
Sep 9, 2020·Applied Nursing Research : ANR·Ivia Cristina Almeida TiagoMarta Cristiane Alves Pereira
Feb 18, 2021·Critical Care Nursing Quarterly·Alice M Onawola
Apr 21, 2021·International Journal of Medical Informatics·Nehal HassanSarah P Slight
Aug 4, 2021·Critical Care Medicine·R Phillip DellingerSean R Townsend
Sep 17, 2021·International Journal of Clinical Practice·Laura AlbertoLeanne M Aitken
Nov 4, 2021·Journal of Clinical Nursing·Ayşegül Öztürk BirgeEsra Köroğlu Çamdeviren

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