TABLE 3.
Characteristics of United States Emergency Department (ED) adult sepsis visits using Revised ED Sepsis classification, 2009–2011.
| Revised ED Sepsis | ||
|---|---|---|
|
| ||
| Characteristic | Annual N | % (95% CI) |
|
| ||
| Total Sepsis Events | 847,868 | --- |
| Infection | 839,720 | 99.0 (97.8–99.6) |
| Fever (triage body temperature >38 °C or <36 °C) | 385,827 | 45.5 (40.1–51.0) |
| Serious Infection Diagnosis | 585,110 | 69.0 (63.5–74.0) |
| Infectious/Parasitic Diseases | 12.9 (9.9–16.7) | |
| Respiratory System Infections | 33.9 (29.2–38.9) | |
| Digestive System Infections | 3.8 (2.4–5.9)* | |
| Genitourinary System Infections | 19.0 (15.3–23.4) | |
| Infectious Complications of Pregnancy, Childbirth, Puerperium | 1.2 (0.5–2.7)* | |
| Skin and Subcutaneous Tissue Infections | 3.3 (1.9–5.6)* | |
| Organ Dysfunction | 846,804 | 99.9 (99.5–100.0) |
| Organ Dysfunction Diagnosis Codes | 349,838 | 41.3 (35.9–46.8) |
| Cardiovascular | 10.6 (8.1–13.8) | |
| Hematologic | 4.0 (2.4–6.5)* | |
| Hepatic | 0.4 (0.1–1.1)* | |
| Neurologic | 2.8 (1.3–6.1)* | |
| Renal | 10.0 (6.9–14.2) | |
| Pulmonary | 14.2 (11.0–18.0) | |
| Endotracheal Intubation | 56,852 | 6.7 (4.7–9.4) |
| SBP ≤90 mmHg | 322,723 | 38.1 (32.9–43.5) |
| ≥2 qSOFA Criteria | 320,374 | 37.8 (32.7–43.2) |
| qSOFA Glasgow Coma Score (GCS ≤14) | 48.8 (40.0–57.8) | |
| qSOFA Respiratory (respiratory rate ≥22 breaths/min) | 43.4 (38.3–48.7) | |
| qSOFA Blood Pressure (systolic blood pressure ≤100 mmHg) | 53.2 (47.6–58.7) | |
| Diagnosis of Severe Sepsis or Septic Shock | 26,680 | 3.2 (1.9–5.1)* |
*
Estimate based upon <30 raw observations; the National Center for Health Statistics considers estimates based upon <30 raw observation to be unreliable.