Thoughts on Sepsis III definition paper?

[sonofva]

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Title says it! Does anyone have anything to chime in about the feb article in JAMA about the new consensus definition of Sepsis?


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[gman33]

Until CMS changes current guidelines, it will have no impact on my practice.

Things have swung too far and everyone is "septic".
I have a cold now and I just worked out. I'm SIRS with source of infection.

Maybe some of these new papers will get things headed back in the correct direction.

 

[WilcoWorld]

SOFA King Septic

 

[WilcoWorld]

But seriously folks, the SOFA score has seemed more specific than SIRS during my shifts since the paper's release.

I share gman's frustration that metrics lag so far behind the literature.

 

[Zebra Hunter]

The focus has now shifted towards end organ dysfunction which will undoubtedly make the SOFA more specific compared to SIRS; however, I am more concerned about the sensitivity for poor outcomes related to infections with this new scoring system.