Review Article

The Mortality in Emergency Department Sepsis Score as a Predictor of 1-Month Mortality among Adult Patients with Sepsis: Weighing the Evidence

Table 2

Summary of included studies.

Hermans et al., 2012 [23]Lee et al., 2008 [24]Vorwerk et al., 2009 [26]Zhao et al., 2013 [25]

Study designRetrospective cohort studyProspective cohort studyRetrospective cohort studyProspective cohort study

Study population(i) One centre (tertiary)
(ii) Adult ED patients (>18 years old)
(i) One centre (tertiary)
(ii) Adult ED patients (≥15 years old)
(i) Two centres (one urban teaching and one district general)
(ii) Adult ED patients (>16 years old)
(i) One centre (tertiary)
(ii) Adult ED patients (>18 patients)
Sample size of 331 patients
(i) Sepsis (62%)
(ii) Severe sepsis (30%)
(iii) Septic shock (4%)
Sample size of 525 patients
(i) Sepsis (76%)
(ii) Severe sepsis (19%)
(iii) Septic shock (5%)
Sample size of 307 patients
(i) No further information about categorisation by severity of sepsis
Sample size of 501 patients
(i) Sepsis (64%)
(ii) Severe sepsis (31%)
(iii) Septic shock (5%)

Prognostic determinantMEDS scoreMEDS scoreAbbreviated MEDS scoreMEDS score

ComparatorC-reactive proteinC-reactive proteinC-reactive protein
ProcalcitoninProcalcitonin
LactateLactate
Interleukin-6
MEDS + procalcitonin

Outcome28-day mortality5-day (early) and 6- to 30-day (late) mortality28-day mortality28-day mortality

ED: emergency department; MEDS score: Mortality in Emergency Department Sepsis score.