TABLE 1.
Participant criteria |
Critically ill sepsis arm |
Inclusion criteria2 |
Known or suspected infection and ≥2 of 4 SIRS criteria |
1) Temperature ≤36°C or ≥38°C |
2) Heart rate ≥90 beats/min |
3) Respiratory rate ≥20 breaths/min or PaCO2 <32 mm Hg |
4) White blood cell count <4000 or >12,000 or >10% bands |
Exclusion criteria |
1) Consent not available or patient declined |
2) Prisoner |
3) Patient died before blood was collected |
4) Patient met criteria for sepsis onset at an outside hospital >24 h before transfer to our medical center |
Critically ill control arm |
Inclusion criteria |
1) ≤24 h since medical intensive care unit admission |
2) No known or suspected infection on the basis of review of the assessment of the treating physicians |
3) Lack of antibiotic therapy (except for prophylactic therapy) |
4) No known microbiologic and radiographic signs of infection |
Exclusion criteria |
1) Consent not available or patient declined |
2) Prisoner |
3) Patient died before blood was collected |
4) Patient critically ill in a medical intensive care unit >24 h |
SIRS, systemic inflammatory response syndrome; PaCO2, partial pressure of carbon dioxide in arterial blood.
Blood was collected within 24 h of sepsis onset (regardless of the patient location when inclusion criteria were first met).