Cited by 120Sepsis Diagnosis and TreatmentInflammation biomarkers and pathwaysAcute Kidney Injury Research

The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.

Identifying Patients With Sepsis on the Hospital Wards

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Abstract

Sepsis contributes to up to half of all deaths in hospitalized patients, and early interventions, such as appropriate antibiotics, have been shown to improve outcomes. Most research has focused on early identification and treatment of patients with sepsis in the ED and the ICU; however, many patients acquire sepsis on the general wards. The goal of this review is to discuss recent advances in the detection of sepsis in patients on the hospital wards. We discuss data highlighting the benefits and limitations of the systemic inflammatory response syndrome (SIRS) criteria for screening patients with sepsis, such as its low specificity, as well as newly described scoring systems, including the proposed role of the quick sepsis-related organ failure assessment (qSOFA) score. Challenges specific to detecting sepsis on the wards are discussed, and future directions that use big data approaches and automated alert systems are highlighted.

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Crossref · 10.1016/j.chest.2016.06.020

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Metadata

Authors
Bhattacharjee, P., Edelson, D. P., & Churpek, M. M.
Affiliations
University of Chicago (US)
Corresponding author
Churpek, Matthew M.
Venue
Chest
Publisher
Elsevier BV
Published
2017-04
Volume
151
Issue
4
Pages
898-907
ISSN
0012-3692 (ISSN-L)
OpenAlex
W2465673526
Cited by
120
References
57
Citations by year
2026: 6 · 2025: 6 · 2024: 12 · 2023: 11 · 2022: 9 · 2021: 15 · 2020: 17 · 2019: 19 · 2018: 11 · 2017: 11
FWCI
1.94
Type
journal article
Language
en
Open access
Locations
  • CHEST Journal (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • American Heart Association
  • Agency for Healthcare Research and Quality (T32HS000078)
  • National Heart, Lung, and Blood Institute (K08HL121080)
Topics
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
  • Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
  • Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
Keywords
sepsis, sepsis detection, hospital wards, systemic inflammatory response syndrome, SIRS criteria, qSOFA score, sepsis screening, scoring system, automated alert system, big data
MeSH terms
Diagnosis, Differential, Hospitalization, Humans, Hospital Mortality, Systemic Inflammatory Response Syndrome, Sepsis, Decision Support Systems, Clinical, Organ Dysfunction Scores

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