Objectives: Evaluate prediction models designed or used to identify patients with sepsis in the prehospital setting. Design: Nested case-control study. Setting: Four emergency departments EDs in Utah. Patients: Adult nontrauma patient with available prehospital care records who received ED treatment during after arrival via ambulance. Interventions: None. Measurements and main results: Of 16, patients arriving to a study ED via ambulance, 1, 6.
Complete prehospital care data was available for case patients with sepsis and control patients without sepsis. Model discrimination for the outcome of meeting Sepsis-3 criteria in the ED was quantified using the area under the precision-recall curve AUPRC , which yields a value equal to outcome prevalence for a noninformative model. Conclusions: PRESEP was the only evaluated prediction model that demonstrated better discrimination than unaided EMS infection assessment for the identification of ambulance-transported adult patients who met Sepsis-3 criteria in the ED.
All Rights Reserved. Abstract Objectives: Evaluate prediction models designed or used to identify patients with sepsis in the prehospital setting.
