Severe sepsis: Difference between revisions

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== Additional Info ==
== 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.
 
{{Discuss | who = Allan| question =
*What are the specific criteria to define severe sepsis?--[[User:Jpeterson|Jpeterson]] 08:42, 2018 December 3 (CST)
*AG REPLY --- acute failure of one of more organs in the setting of infection, and presumably due to the infection. The official definition of this per the SEPSIS-3 guidelines is an acute increase in the SOFA score by 2 or more.  https://en.wikipedia.org/wiki/SOFA_score.  SOFA is made up scoring from 6 organs:  pulmonary, coagulation, liver, CV, CNS and renal, as indicated below.}}
 
*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 ==
== Alternate ICD10s to consider coding instead or in addition ==
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== Related CCI Codes ==
== 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}}
{{Data Integrity Check List}}