Does application of the sepsis scoring system qSOFA and early notification to senior medical staff in a Remote Australian Emergency Department improve the outcomes of patients presenting with sepsis

Not Applicable

• Conditions: sepsis; Infection - Studies of infection and infectious agents; Public Health - Health service research

• Registration Number: ACTRN12617000334303
• Lead Sponsor: Samuel Goodwin

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-03-03
• Last Update Posted: 14 October 2019

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 786

Inclusion Criteria

All non-pregnant patients over the age of 18years presenting to the Emergency Department at Alice Springs Hospital with a clinical suspicion of infection and scoring at lease 1 on the qSOFA score

Exclusion Criteria

Patients with long term cognitive inability to give consent and those under guardianship

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time for the presentation to triage at the ED to the administration of antibiotics for patients presenting to the Alice Springs emergency department with suspected sepsis assessed by retrospective case note review[At the time of antibiotic administration];Proportion of participants receiving antibiotics within 1 hour post presentation to ED, compared between group one (no point of care lactate) and group two (point of care lactate), assessed by retrospective case note review[At the time of antibiotic administration]

Secondary Outcome Measures

Name	Time	Method
Validation of the qSOFA score by calculation of sensitivity and specificity and assessed by comparison with SIRS/LODS/REWS scores for sepsis in a remote and mainly Indigenous Australian population presenting to Alice Springs Emergency Department with a clinical suspicion of sepsis[retrospective case notes review and review of prospective cases at the time of discharge];length of stay in hospital assessed by retrospective case note review[Measured at the time of discharge];admission rates to ICU within 48hrs of the time of triage assessed by retrospective case note review[48hrs from the time of triage];Rates of antibiotic use in the Emergency Department at Alice Springs Hospital prior to admission to the ward or discharge assessed by retrospective case note review[measured at the time of admission by an in-patient specialist team or discharge from the emergency department]