Emergency sepsis mortality in emergency department sepsis score value for patients with sepsis in risk stratification and prognosis
DAI Xiaoyong
HUA Wei
YE Youwen
ZHOU Jilan
SHEN Jian
YAN Ling
Abstract：Objective To explore the application value of mortality in emergency department sepsis ( MEDS) score for the risk stratification and prognosis of patients with sepsis.Methods Selected 62 cases of patients with sepsis admitted to our hospital from January 2012 to June 2014, according to hospitalized patients'condition, they were divided into sepsis group ( n =21),serious sepsis group ( n =24), septic shock group ( n =17);according to the 28 day survival, they were divid-ed into survival group ( n =41 ) and death group ( n =21 ) .Acute physiology and chronic health status score ( APACHE II) , sequential organ failure ( SOFA) , MEDS score were evaluated, and blood lactate level were measured, and the survival rate of patients with 28 d were recorded.The risk factors of mortality of 28 d were analyzed by Logistic regression analysis.Re-sults Severe sepsis group and septic shock group's SOFA, blood lactic acid were significantly higher than that in sepsis group ( P <0.05) , the difference between the severe sepsis group and septic shock group had no statistical significance ( P >0.05);APACHE II,MEDS score:sepsis group <severe sepsis group <septic shock group, the differences were statistically significant ( P <0.05);severe sepsis group and sepsis group's mortality rate were lower than in septic shock group ( P <0.05).Death group patients were older than the survival group, APACHE II score, SOFA, MEDS scores and blood lactate level were significantly higher than those of the survival group ( P <0.05);with the aggravation of the disease, sepsis pa-tients'MEDS score, mortality rate was significantly higher ( P <0.05);with the increase in risk stratification, the mortality rate was significantly increased ( P <0.05).Multivariate Logistic regression analysis showed that, APACHE II score, SO-FA, MEDS score and blood lactic acid were independent risk factors for 28 day mortality rate ( P <0.05).Conclusion The practicability of MEDS score was better than that of APACHE II and SOFA score, which can be used as an important index in the risk stratification and prognosis of patients with sepsis.
Keywords：Mortality in emergency department sepsis scoreSepsisRisk stratificationPrognosis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1141-1143 )