Pape Chase 3 – qSOFA vs SIRS vs Sepsis

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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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Nathan G., RN -

The statements "Sepsis is considered a score of 2 or more" and " A score of 2 meets the criteria for sepsis" in regards to qSOFA are not accurate. The Sepsis-3 publications as well as the Sepsis-3 response document published by the Surviving Sepsis Campaign state very clearly that qSOFA DOES NOT define sepsis. It is merely a risk stratification tool and may be used as a prompt to consider the possibility of sepsis. Currently the SEP-1 CMS core measure still employs the old SIRS-based definitions of sepsis thus clinicians in the US are not likely to encounter administrative pressure to document in Sepsis-3-consistent language until this changes. www.ncbi.nlm.nih.gov/pubmed/27894635

SHIH-CHIN C. -

2018 CMS SEP-1 uses Sepsis-2, Infection + 2 SIRS + 1 Organ dysfunction.
The studies linked below paints a less favorable view of qSOFA:
https://emcrit.org/pulmcrit/sepsis-3-sofa-validation-news/

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