Table 2.
Neurologic Diagnoses, Clinical Condition, and Change Surrounding Modified Early Warning Score-Sepsis Recognition Score Greater Than or Equal to 5 Trigger in Patients With Modified Early Warning Score-Sepsis Recognition Score Greater Than or Equal to 5 (n= 1,120)
| Primary Diagnosis | n (%) |
|---|---|
| Cerebral infarction | 270 (24.1) |
| Subarachnoid hemorrhage | 206 (18.4) |
| Intracerebral hemorrhage | 128 (11.4) |
| Neoplasm | 94 (8.4) |
| Subdural hematoma | 68 (6.1) |
| CNS infections | 66 (5.9) |
| Spine | 66 (5.9) |
| Encephalopathy | 60 (5.4) |
| Seizures/status epilepticus | 59 (5.3) |
| Traumatic brain injury | 49 (4.4) |
| Aneurysm/arteriovenous malformation (unruptured) | 19 (1.7) |
| Other | 34 (3.0) |
| Intubated | 722 (64.5) |
| Treated with antibiotics | 444 (39.6) |
| Presence of infection or sepsis | |
| Infection (total) | 479 (42.8) |
| New infection discovered | 157 (14.0) |
| Sepsis (total) | 160 (14.3) |
| New sepsis discovered | 62 (5.5) |
| New sepsis or infection | 164 (14.6) |
| Underlying process/trigger | |
| Medical worsening | 331 (29.6) |
| Respiratory rate | 281 (25.1) |
| Blood pressure | 157 (14.0) |
| Heart rate | 249 (22.2) |
| Mental status | 299 (26.7) |
| Temperature | 31 (2.8) |
| WBC count | 103 (9.2) |
| Neuro-worsening | 343 (30.6) |
| Intracerebral hemorrhage | 108 (9.6) |
| Cerebral edema | 88 (7.9) |
| Seizures/status epilepticus | 71 (6.3) |
| Intracranial pressure elevation | 47 (4.2) |
| Hydrocephalus | 45 (4.0) |
| Vasospasm/delayed ischemic neurological deficit | 43 (3.8) |
| Midline shift | 42 (3.8) |