Physician agreement on the diagnosis of sepsis in the intensive care unit: estimation of concordance and analysis of underlying factors in a multicenter cohort.
Bert K LopansriRussell R Miller IiiJohn P BurkeMitchell LevySteven OpalRichard E RothmanFranco R D'AlessioVenkataramana K SidhayeRobert BalkJared A GreenbergMark YoderGourang P PatelEmily GilbertMajid AfsharJorge P ParadaGreg S MartinAnnette M EsperJordan A KempkerMangala NarasimhanAdey TsegayeStella HahnPaul MayoLeo McHughAntony RapisardaDayle SampsonRoslyn A BrandonTherese A SeldonThomas D YagerRichard B BrandonPublished in: Journal of intensive care (2019)
Considerable uncertainty surrounds the differential clinical diagnosis of sepsis vs. SIRS, especially before organ damage has become highly evident, and for patients presenting with respiratory clinical signs. Our findings underscore the need to provide physicians with accurate, timely diagnostic information in evaluating possible sepsis.