In a recent discussion with our team, I was made aware of an issue in tracking 
patients through the SSC database regarding the SIRS criteria. 

If you refer to the 2001 consensus definitions for sepsis and the 2012 SSC 
guidelines which mimic the same, there is no longer a 2/4 SIRS criteria in 
place as a requirement for the diagnosis of sepsis. 

Can anyone from the SSC comment as to why patients are excluded from being 
entered when they lack these findings? The tool has added “acutely altered 
mental status” and “hyperglycemia in absence of diabetes” which are appropriate 
to include, but this form is not in-line with their own guidelines…


Any input? 

Thanks 

Ryan Arnold, MD
Christiana Care Health System 
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