Skin mottling score and capillary refill time to assess mortality of septic shock since pre-hospital setting

The American Journal of Emergency Medicine
Romain JouffroyB Vivien

Abstract

The early identification of septic shock patients at high risk of poor outcome is essential to early initiate optimal treatments and to decide on hospital admission. Biomarkers are often used to evaluate the severity. In prehospital settings, the availability of biomarkers, such as lactate, is restricted. In this context, clinical tools such as skin mottling score (SMS) and capillary refill time (CRT) are more suitable. In this study, we describe prehospital SMS and CRT's ability to predict mortality of patients with septic shock initially cared in the prehospital setting by a mobile intensive care unit. Patients with septic shock who received prehospital medical care admitted to the intensive care unit were retrospectively analyzed. Sixty-three patients were included. The origin of sepsis was mainly pulmonary (67%). Overall mortality reached 36%. No significant difference was observed in the duration of prehospital medical care between alive and deceased patients. Mean prehospital value of SMS was 3 ± 2 and mean prehospital value of CRT was 5 ± 1 s. A significant association was found between mortality and prehospital SMS (p = 0.02, OR[CI95] = 1.50 [1.08-2.15]) and prehospital CRT (p = 0.04, OR[CI95] = 1.53 [1.04-2.37]). After...Continue Reading

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Feb 6, 2018·The American Journal of Emergency Medicine·Romain JouffroyBenoit Vivien

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Citations

Jan 7, 2020·Clinical Hemorheology and Microcirculation·Pan PanXiaoting Wang
Feb 18, 2020·Microcirculation : the Official Journal of the Microcirculatory Society, Inc·Raphael Romano BrunoChristian Jung
Dec 31, 2020·Journal of Intensive Care Medicine·Garrick MokKrishan Yadav
Mar 9, 2021·The American Journal of Emergency Medicine·Romain JouffroyBenoit Vivien
Jun 28, 2020·The American Journal of Emergency Medicine·Romain JouffroyBenoit Vivien
Apr 15, 2021·Current Opinion in Critical Care·Jan Bakker
Jun 29, 2021·Journal of Veterinary Emergency and Critical Care·Nolan V ChalifouxDeborah C Silverstein
Aug 6, 2021·The American Journal of Emergency Medicine·Romain JouffroyBenoît Vivien

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