Table 3.

Naming of sepsis in medical record of patient with sepsis according to sepsis-1 definitions

Variable	Reference standard diagnosis of sepsis-1 by chart review
	Sepsis-1	Severe sepsis-1 (including septic shock)	Septic shock
Sepsis diagnosis named in the medical record (including discharge letter)	31.8% [24.4%, 40.1%]	49.7% [42.6%, 56.8%]	64.3% [54.9%, 72.7%]
Sepsis diagnosis named in the medical record (excluding discharge letter)	25.9% [19.2%, 33.9%]	41.3% [34.1%, 49.0%]	58.2% [48.4%, 67.5%]
Sepsis diagnosis named in discharge letter	28.0% [21.0%, 36.2%]	44.0% [36.4%, 51.9%]	56.3% [45.8%, 66.3%]
Type of sepsis diagnosis named in the discharge letter
Sepsis without organ dysfunction	12.4% [6.5%, 22.4%]	7.7% [2.6%, 20.9%]	1.5% [0.8%, 2.8%]
Severe sepsis (but not septic shock)	15.4% [7.9%, 27.7%]	18.7% [10.2%, 31.7%]	14.4% [7.5%, 26.1%]
Septic shock	30.2% [22.7%, 39.1%]	38.4% [26.1%, 52.4%]	58.0% [44.9%, 70.1%]
Type not classified	41.9% [28.0%, 57.3%]	35.2% [23.4%, 49.2%]	26.1% [16.9%, 37.9%]

Estimates are presented as relative frequencies (%) along with their 95% confidence intervals and were calculated with adjustment for sampling weights and clustering