It is new organ dysfunction within the  last 48 hours. This will eliminate 
those with chronic renal failure patient.

Anita Siscoe-Hapshie

Anita Siscoe-Hapshie, RN, MSN, CCRN
Sepsis Coordinator
[email protected]<mailto:[email protected]>
Citrus Memorial Hospital
502 W. Highlands Blvd.
Inverness, FL 34452
Office 352.560.6214
Fax 352.726.9119

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From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Zhukov, Marina (Tacoma)
Sent: Wednesday, April 13, 2016 6:08 PM
To: [email protected]
Subject: [EXTERNAL] [Sepsis Groups] Acute on Chronic conditions

We are struggling with defining Organ dysfunction criteria for acute on chronic 
conditions.
What everyone else is doing to separate Acute on Chronic renal failure with 
chronically elevated Creatinine?
Is it considered to be related to sepsis presentation with acute Cr=10.0 or 
chronic baseline of Cr= 3.2. Where is that fine line of 'yes/no'?

Thanks,
Marina Zhukov, RN, BSN
Clinical Data Abstractor
Franciscan Administrative Center-Market

1149 Market Street, Tacoma, WA 98402 | MS 10-04
P. 253.552.5782 | I. 152-5782
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