Document Type
Article
Publication Date
12-5-2023
Publication Title
Journal of Personalized Medicine
Abstract
Potentially septic patients have a huge clinical and economic impact on hospitals and often present to the emergency department (ED) with undifferentiated symptoms. The triage of these patients is complex and has historically relied heavily upon provider judgment. This study aims to evaluate the consistency of provider judgment and the potential of a new host response sepsis test to aid in the triage process. A modified Delphi study involving 26 participants from multiple specialties was conducted to evaluate provider agreement about sepsis risk and to test proposed actions based on the results of a sepsis test. The participants considered case vignettes of potentially septic patients designed to represent diagnostic dilemmas. Provider assessment of sepsis risk in these cases ranged from 10% to 90% and agreement was poor. Agreement about clinical actions to take in response to testing improved when participants considered their own hypothetical borderline cases. New host response testing for sepsis may have the potential to improve sepsis diagnosis and care and should be applied in a protocolized fashion to ensure consistency of results.
PubMed ID
38138912
Volume
13
Issue
12
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Kraus, Chadd K.; O’Neal, Hollis R.; Ledeboer, Nathan A.; Rice, Todd W.; Self, Wesley H.; and Rothman, Richard E., "Variability in Provider Assessment of Sepsis and Potential of Host Response Technology to Address this Dilemma—Results of an Online Delphi Study" (2023). School of Medicine Faculty Publications. 2053.
https://digitalscholar.lsuhsc.edu/som_facpubs/2053
10.3390/jpm13121685
Included in
Bacterial Infections and Mycoses Commons, Critical Care Commons, Diagnosis Commons, Emergency Medicine Commons