What is it about?
In this study we have derived and internally validated a new scoring system to identify the sickest patients who present to the emergency department with an infection or suspected sepsis. The REDS score ranges from 0-12. Those with a score of 0-2 are deemed to be at low risk of death with a mortality rate of 2.6%. Those with a score of 3 or more have an overall mortality rate of over 21%. The score uses widely available measures including vital signs and blood tests making it easy to implement in any emergency department.
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Why is it important?
Many patients with sepsis are admitted via the emergency department. It is therefore important that the sickest patients are identified, treated and transferred to the appropriate unit. The REDS score is a quick and easy scoring system that uses widely available tests and observations to identify the sickest patients.
Perspectives
Many scoring systems have been derived and validated to identify the sickest sepsis patients. But many are not sensitive enough. The REDS score combines four of these systems and is easy to use and has a sensitivity for mortality of 90% if all variables are measured. It is practical and can be implemented in any emergency department.
Dr Narani Sivayoham
Read the Original
This page is a summary of: The REDS score: a new scoring system to risk-stratify emergency department suspected sepsis: a derivation and validation study, BMJ Open, August 2019, BMJ,
DOI: 10.1136/bmjopen-2019-030922.
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