脓毒症的定义：探寻黄金标准以及医疗保险和医疗补助服务中心的错误之处
Sepsis Definitions: The Search for Gold and What CMS Got Wrong.
作者信息
Kalantari Annahieta, Mallemat Haney, Weingart Scott D
机构信息
Aria Jefferson Health, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Philadelphia College of Osteopathic Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania.
出版信息
West J Emerg Med. 2017 Aug;18(5):951-956. doi: 10.5811/westjem.2017.4.32795. Epub 2017 Jul 10.
Abstract
On October 1, 2015, the United States Centers for Medicare and Medicaid Services (CMS) issued a core measure addressing the care of septic patients. These core measures are controversial among healthcare providers. This article will address that there is no gold standard definition for sepsis, severe sepsis or septic shock and the CMS-assigned definitions for severe sepsis and septic shock are premature and inconsistent with evidence-based definitions.
摘要
2015年10月1日，美国医疗保险和医疗补助服务中心（CMS）发布了一项针对脓毒症患者护理的核心指标。这些核心指标在医疗服务提供者中存在争议。本文将指出，对于脓毒症、严重脓毒症或脓毒性休克，不存在金标准定义，且CMS对严重脓毒症和脓毒性休克所指定的定义为时过早，与循证定义不一致。
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