Evaluation of sepsis in a critically ill surgical population

D. A. Jordan, C. F. Miller, K. L. Kubos, M. C. Rogers

Research output: Contribution to journalArticle

Abstract

We report a new clinical rating system which assesses septic patients' ongoing disease course and its severity. Our system incorporates the Therapeutic Intervention Scoring System (TISS) and Acute Physiology and Chronic Health Evaluation to measure discrete organ system abnormalities, plus a multiple system organ failure scale to quantify the number of abnormal organ systems. The resulting score, which reflects the severity of multiple organ dysfunction and grades responsiveness to therapy, was validated against the acute disease course. Retrospective and prospective profiles of individual surgical ICU patients demonstrated that this tracking method was a more effective indicator of severity of sepsis and more sensitive to the day-to-day changes in clinical status than either the TISS or APACHE II components alone. We also demonstrate that a graphic illustration of daily system scores yields clinically useful information relevant to the patients' septic course.

Original languageEnglish (US)
Pages (from-to)897-904
Number of pages8
JournalCritical care medicine
Volume15
Issue number10
DOIs
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'Evaluation of sepsis in a critically ill surgical population'. Together they form a unique fingerprint.

  • Cite this

    Jordan, D. A., Miller, C. F., Kubos, K. L., & Rogers, M. C. (1987). Evaluation of sepsis in a critically ill surgical population. Critical care medicine, 15(10), 897-904. https://doi.org/10.1097/00003246-198710000-00001