Clinical Gestalt to Predict Bacterial Infection and Mortality in Emergency Department Patients: A Prospective Observational Study
In this study of ED patients presenting with signs and symptoms of infection, clinical gestalt was shown to be useful differentiating between bacterial and infections of other causes. Antibiotic prescription rate increased with the likelihood of bacterial infection according to physician gestalt. Lastly, simple heuristic prognostication of mortality (likely vs. unlikely) carried some, but limited, prognostic value.
Authors
- Christian H. Nickel (ORCID: https://orcid.org/0000-0001-6619-9284)
- Tanguy Espejo (ORCID: https://orcid.org/0000-0003-4303-1352)
- Christiane Rosin
- G Balestra (ORCID: https://orcid.org/0000-0002-5862-0435)
- Kriemhild Lippay
- H Riedel (ORCID: https://orcid.org/0000-0002-7483-2622)
- Ricardo Nieves-Ortega (ORCID: https://orcid.org/0000-0003-1619-3401)
- Christoph Becker (ORCID: https://orcid.org/0000-0001-6039-4003)
- Roland Bingisser (ORCID: https://orcid.org/0000-0003-1424-3460)
- Livia Amsler
Institutions
- University of Basel (CH)
- University Hospital of Basel (CH)
Publication Details
- Journal
- Journal of General Internal Medicine
- Published
- 2025-02-26
- DOI
- https://doi.org/10.1007/s11606-025-09440-7
- Primary Topic
- Clinical Reasoning and Diagnostic Skills
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Universität Basel