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Table 2 Demographic and clinical characteristics of the study cohort (N=249). Comparator = unanimous method, meaning that the site investigators’ consensus discharge assessment and the individual evaluations by the three external RPD panelists were in complete agreement, regarding the diagnosis of SIRS or sepsis. If the agreement was less than unanimous, then an indeterminate call was made

From: Physician agreement on the diagnosis of sepsis in the intensive care unit: estimation of concordance and analysis of underlying factors in a multicenter cohort

Parameter category

Parameter

SIRS (n = 106)

Sepsis (n = 69)

Indeterminate (n = 74)

p value1

Demographics

Age: median (IQR)

54 (40–65)

60 (47–67)

64 (53–75)

0.002

Sex: female

51 (48%)

30 (44%)

36 (49%)

0.79

White

68 (64%)

41 (59%)

53 (72%)

0.30

Black

30 (28%)

16 (23%)

16 (22%)

0.55

Asian/East Indian

2 (2%)

6 (9%)

2 (3%)

0.06

Hispanic

4 (4%)

5 (7%)

3 (4%)

0.54

Other or unrecorded

2 (2%)

1 (1%)

0

0.51

Blood culture result

1. No blood culture done or blood culture negative

100 (94%)

11 (16%)

66 (89%)

< 0.001

2. Blood culture positive

3 (3%)

29 (42%)

4 (5%)

< 0.001

3. Gram positive

3 (3%)

13 (19%)

3 (4%)

< 0.001

4. Gram negative

0

11 (16%)

1 (1%)

< 0.001

5. Mixed Gram pos/neg

0

5 (7%)

0

0.001

6. Fungus

0

0

0

NA

Infection site

Respiratory tract (non-lung)

0

3 (4%)

4 (5%)

0.06

Lung (pneumonia)

3 (3%)

15 (22%)

24 (32%)

< 0.001

Abdominal

0

10 (14%)

2 (3%)

< 0.001

Urinary tract

0

8 (12%)

3 (4%)

0.001

Other site

0

21 (30%)

4 (5%)

< 0.001

Not identified

103 (97%)

12 (17%)

37 (50%)

< 0.001

Clinical parameters, outcome

Days in hospital: median (IQR)

3 (2–5)

8 (5–14)3

6 (4–9)

< 0.001

Days in ICU: median (IQR)

2 (1–2)

3 (2–5)

2 (1–4)

0.002

Antibiotics given in ICU

60 (57%)

68 (99%)

68 (92%)

< 0.001

APACHE score: median (IQR)2

54 (29–84)

76 (46–95)3

82 (48–103)4

< 0.001

SOFA score: median (IQR)

4 (2–7)6

5 (4–10)5

6 (4–8)7

0.02

Mortality

6 (6%)

9 (13%)3

9 (12%)

0.18

  1. Abbreviations: ANOVA analysis of variance, APACHE Acute Physiology and Chronic Health Evaluation, ICU intensive care unit, IQR inter-quartile range, NC not calculated, neg negative, pos positive, RPD retrospective physician diagnosis, SOFA sequential organ failure assessment
  2. 1For distributions (like age), the p value is derived from ANOVA. For categorical variables such as sex, the p value is derived from a three-sample test for equality of proportions without continuity correction. p values derived from small samples should not be considered definitive.
  3. 2APACHE score, as calculated at different clinical sites (site, version, available to RPD panelists): IMH III yes; LDSH III yes; JHH III no; NH IV no; RUMC II yes; LUMC III no; GMH III no.
  4. 368/69 sepsis patients with data recorded
  5. 473/74 indeterminate patients with data recorded
  6. 555/69 sepsis patients with data recorded
  7. 670/106 SIRS patients with data recorded
  8. 760/74 indeterminate patients with data recorded