Factors and outcomes associated with under‐ and overdiagnosis of sepsis in the first hour of emergency department care
This prospective single-academic center study identified patient subgroups at risk of impaired diagnostic accuracy of sepsis, with clinicians often overdiagnosing rather than underdiagnosing these groups. Prompt abnormal laboratory test results can "rescue" initial missed diagnoses, serving as potential clinician- and systems-level intervention points to reduce missed diagnoses. Missed diagnoses delayed antibiotics, but not mortality after controlling for severity of illness.
Authors
- Sarah K. Knack (ORCID: https://orcid.org/0000-0002-4220-0866)
- Matthew E. Prekker (ORCID: https://orcid.org/0000-0002-3969-3022)
- Olivia Kaus
- Brian E. Driver (ORCID: https://orcid.org/0000-0002-7141-0256)
- Ellen Maruggi
- Walker Tordsen
- Nathaniel L. Scott (ORCID: https://orcid.org/0000-0003-0103-4045)
- Michael A. Puskarich (ORCID: https://orcid.org/0000-0001-6358-4670)
- Sureshwar Pandey
- Sarah J. Ringstrom
Institutions
- University of Minnesota (US)
- Hennepin Healthcare Research Institute (US)
Publication Details
- Journal
- Academic Emergency Medicine
- Published
- 2024-12-27
- DOI
- https://doi.org/10.1111/acem.15074
- Citations
- 5
- Primary Topic
- Sepsis Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 1.93