Table 3 Analysis of Reclassification Events
Reclassification | Number (%) reclassified: attending physician ➔ discharge evaluation by site investigators (Additional file 3: Figure S3–1) | Number (%) reclassified: attending physician ➔ RPD (Additional file 3: Figure S3–2) | Change in apparent in risk profile | Potential consequence of erroneous initial classification |
|---|---|---|---|---|
SIRS to sepsis | 4 (1.6%) | 6 (2.4%) | Low to high | Delayed antibiotic treatment, prolonged hospital stay, and increased morbidity and mortality |
Indeterminate to sepsis | 12 (4.8%) | 22 (8.8%) | Medium to high | Possible delayed antibiotic treatment |
SIRS to indeterminate | 5 (2.0%) | 5 (2.0%) | Low to medium | Possible delayed antibiotic treatment |
Sepsis to SIRS | 9 (3.6%) | 9 (3.6%) | High to low | Excess antibiotic use |
Indeterminate to SIRS | 18 (7.2%) | 16 (6.4%) | Medium to low | Possible excess antibiotic use |
Sepsis to indeterminate | 15 (6.0%) | 12 (4.8%) | High to medium | Possible excess antibiotic use |
Total | 63 (25.3%) | 70 (28.1%) |