I am very excited w/ the new article regarding the qSOFA/SOFA score in that it can be obtained rapidly and therefore treatment can be started immediately with what I would think would be better outcomes.  Of course the regular labs of venous lactate, blood cultures, basic chemistry, and CBC as well as any other labs/studies pertinent to the specific patient.  The follow-up tests can determine specific organ damage but the SOFA score is for rapid identification and thus rapid treatment for sepsis.

I am not impressed. It still has 'suspicion' of infection in it. I am a believer in patient examination (history and clinical examination) and clinical judgement. Scores are there only to help as adjuncts and not there to be followed blindly! Blind adherence to 'Scores' etc leads to erroneous judgements and tends to say that medical training (both in class room as well in the wards) is meaningless!! By all means know the scores but don't forget to look at the patient. They 'tell' you a lot more than any score or algorithm can tell you.

I would apply the definition, do a small prospective observational study for 3-6 months in your own population of patients seen in ED or ICU and see if the patient mortality is same or gone down, will tell you if the new definition is more sensitive or specific !! let me know I can send you the methodology, of course you need to take a ethical committee approval. Thanks,

Thanks you all. Of course Dr. Rahul Kashyap I will be grateful my email is in my bio info.

I agree to Roop Kishan. Close clinical monitoring of patient with impending sepsis teaches you a lot than following the algorithms and score.Of course scores and algorithms have their own place for follow up management of sepsis.

Inspection of course very important. but low oxygen saturation, arrhythmia, hypotension, leukocytosis or leukopenia, it gives you the opportunity easiest and fastest evaluation. This assessment will guide you about the weight of sepsis and sepsis.

Thanks you all

I think is important a integral definition. In the other time, SRIS had more acceptation. In children it is not applicable.

Thanks Dr. Jaime Fernandez-Sarmiento for your valuable answer. Indeed an holistic definition is always better.

Here is something we compared new definition to old definition. Article Association of septic shock definitions and standardized mor...