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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Sepsis:<br />

Sepsis syndrome<br />

OR Viremia: (blood culture reports growth of virus organism)<br />

OR Fungemia: (blood culture reports growth of fungal organism)<br />

OR Bacteremia: (blood culture reports growth of bacterial organism)<br />

AND Fever: (Temperature > 101°F oral or > 101.5°F rectal)<br />

OR Hypothermia: (Body Temperature < 96°F rectal)<br />

AND Tachypnea: (Respiratory rate > 26/min)<br />

OR Patient intubated<br />

AND Tachycardia: (Heart rate > 110 beats/min)<br />

AND One of the following:<br />

Pa0 2 /F I 0 2 < 280 [Arterial Blood Gas Report]<br />

OR Use of 40% Ventimask<br />

OR Anion gap: > 14<br />

OR Acidosis: (Decreased: Blood pH < 7.325)<br />

OR Anuria: (Urine output < 100 mL/24 hr)<br />

OR < 1mL/kg/24h for children < 16 years old<br />

OR Hypotension: (Systolic blood pressure < 90 mmHg)<br />

OR International normalized ratio (INR) > 1.0<br />

OR PTT > baseline<br />

OR Thrombocytopenia: (Decreased: Platelet count, blood <<br />

10x10 3 /μL)<br />

OR Pregnant<br />

AND Platelet count < 15x10 3 /μL<br />

OR Baseline platelet count drops 50% in 24 hours<br />

OR Coma: (Glasgow coma scale rating < 8)<br />

OR unresponsive to pain<br />

AND unresponsive to verbal stimuli<br />

AND unresponsive to tactile stimuli<br />

OR encephalopathy<br />

Quartin A et.al. JAMA 1997;277;1058-63<br />

Sands K et.al. JAMA 1997;278;234-240<br />

SGOT: See Aspartate aminotransferase<br />

Deleted: <br />

Deleted: <br />

Deleted: <br />

Deleted:<br />

Deleted:<br />

Deleted:<br />

Deleted:<br />

OR Disorientation:<br />

G-31

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