Tele-Critical Care

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  • 1.  SEP 3 and SOFA

    Posted 04-18-2022 17:05

    Dear all,

    Our Tele Critical care department is helping to operationalize the SEP 3 definition of sepsis using SOFA score in our health system. We built SOFA calculator into EPIC that calculates the score every 15 minutes and alerts physicians when the score jumps 2 points or more. We are running into the issue of missing data for SOFA, like GCS, urine output, ABGs. We are following proposals from the below article to help overcome this issue, and wanted to check with you all whether you came across this issue and what solutions you might have come up with? Do you give zero for missing data, look back in EPIC and carry over the last or worst available value?



     Thank you

    Majdi Hamarshi
    Critical Care
    Saint Lukes Health System - Kansas City, MO
    Kansas City MO

  • 2.  RE: SEP 3 and SOFA

    Posted 04-18-2022 17:09
    I believe we do give a zero for missing data but mark the SOFA score as incomplete to alert clinicians about it.

    Ankit Sakhuja
    JW Ruby Memorial Hospital
    Morgantown WV

  • 3.  RE: SEP 3 and SOFA

    Posted 04-19-2022 11:06
    We usually manually try to curate them

    Krzysztof Laudanski
    Department of Anesthesiology & Critical Care
    Physician Lead for Quality and Implementation Penn eLert
    University of Pennsylvania
    Philadelphia PA