Severe sepsis: Difference between revisions

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== Additional Info ==

*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016). These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions we have just 2 subcategories:

**Sepsis ~~is life-threatening organ dysfunction caused by a dysregulated host response to infection -- NOTE this was the 2001 definition of "severe sepsis"~~

**Septic shock is a subset of sepsis in which profound circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone

*For these the cause is proven infection, OR '''presumed''' infection -- thus positive cultures are ''not'' required.

*Do not code this if the patient qualifies as having '''[[Shock, septic]]'''.

*The 2016 consensus group defined the ORGAN DYSFUNCTION as an acute CHANGE from patient's baseline total [[SOFA scoring | SOFA score]] '''by 2 or more points''' -- where the baseline SOFA score can be assumed to be 0 in patients not known to have preexisting organ dysfunction.

*'''GO TO''': [[SOFA scoring]]:

== Alternate ICD10s to consider coding instead or in addition ==

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== Related CCI Codes ==

== Reporting ==

For reporting purposes we group our ICD10 Diagnoses by ICD10 chapter. '''Sepsis is an exception to this!''' [[Sepsis (SIRS due to infection, without acute organ failure)]] and [[Severe sepsis]] will be reported as a group outside of the ICD10 chapters.

== Background ==

=== Introduction of ... ===

*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016). These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions

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 == Additional Info ==
-*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016).  These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions we have just 2 subcategories:
+{{ICD10 Guideline Sepsis}}
-**Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection -- NOTE this was the 2001 definition of "severe sepsis"
-**Septic shock is a subset of sepsis in which profound circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone
-*For these the cause is proven infection, OR '''presumed''' infection -- thus positive cultures are ''not'' required.
-*Do not code this if the patient qualifies as having '''[[Shock, septic]]'''.
-*The 2016 consensus group defined the ORGAN DYSFUNCTION as an acute CHANGE from patient's baseline total [[SOFA scoring | SOFA score]] '''by 2 or more points''' -- where the baseline SOFA score can be assumed to be 0 in patients not known to have preexisting organ dysfunction.
-*'''GO TO''': [[SOFA scoring]]:
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 33: / Line 27: @@
 == Related CCI Codes ==
+== Reporting ==
+For reporting purposes we group our ICD10 Diagnoses by ICD10 chapter. '''Sepsis is an exception to this!''' [[Sepsis (SIRS due to infection, without acute organ failure)]] and [[Severe sepsis]] will be reported as a group outside of the ICD10 chapters.
+== Background ==
+=== Introduction of ... ===
+*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016).  These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions
 {{Data Integrity Check List}}