Variables | Suspected sepsis (n=509) |
DNAR in place on presentation, n(%) | |
Yes | 113 (22.2) |
No | 318 (62.5) |
Not documented | 78 (15.3) |
DNAR discussed in the ED, n(%) | |
Yes, and implemented | 15 (2.9) |
Yes, and already in place | 9 (1.8) |
Yes, and not implemented | 2 (0.4) |
Considered by ED clinician | 2 (0.4) |
Yes, by the medical/ICU team | 11 (2.2) |
No documented discussion or form | 470 (92.3) |
Escalation of care (explicit), n(%) | |
Ward level care decision by ED team | 25 (4.9) |
Ward-level care decision by medical team | 5 (1.0) |
Full escalation | 44 (8.6) |
For early medical review | 2 (0.4) |
Under palliative care team | 8 (1.6) |
Not documented | 425 (83.5) |
ICU decisions, n(%) | |
Considered ICU, but decision for ward level care by team | 17 (3.4) |
Decision for ICU referral if not improving | 3 (0.6) |
Discussed with ICU: | |
Admitted under medical team | 4 (0.8) |
For treatment/medical review initially | 2 (0.4) |
Referred to ICU | 33 (6.5) |
Seen by ICU team, and decision for level 0 care | 8 (1.6) |
Seen by ICU team, and decision for level 1 care | 1 (0.2) |
Seen by ICU team, and decision for level 2 care | 13 (2.6) |
Seen by ICU team, and decision for level 3 care | 9 (1.8) |
Referred to ICU by medical team | 2 (0.4) |
Not needed* | 388 (76.2) |
Not documented | 62 (12.2) |
*Included records where it was explicitly documented that the plan was to transfer to ward or specialty referral, with no specific ceiling of care reasons documented. Where this was not written or if there was any ambiguity then the record was not included in this category.
DNAR, do not attempt resuscitation; ED, emergency department; ICU, intensive care unit.