Table 1.
Code status limitations precluding critical care management (e.g. directives against use of mechanical ventilation or vasopressor agents). |
Refusal of patient or designated surrogate decision-maker to provide written informed consent, or inability to obtain consent within 48 hours of diagnosis |
Severe cardiomyopathy with left-ventricular ejection fraction < 30%a |
Chronic dialysis-dependent renal failurea |
History of solid organ or bone marrow/ stem cell transplantationa |
Pre-existing advanced liver disease (Child-Pugh Grade C)a |
Organic nitrate therapya |
Current active bleedinga |
Hematocrit < 22% or <25% while on vasopressorsa |
Pregnancy or hormone replacement therapy (HRT)a |
>48 hours since severe sepsis/ septic shock diagnosis |
Arterial catheter for blood sampling not available |
Laboratory equipment or staff not available |
Exclusion criteria for both control subjects and sepsis patients. Control subjects were also excluded if they had infections or used antibiotics within 6 weeks of specimen collection.