"Early detection of sepsis : a randomized clinical trial."

INTERVENTION: The Protocol watch (PW), designed by Philips Healthcare is a new clinical support application on the patient monitor that assists clinicians in the implementation of the SSC guidelines. Protocol watch monitors the patients for the signs and symptoms of sepsis and notifies you when SIRS/Sepsis conditions occur. CONDITION: ; Sepsis, Septic shock , Screening ; ; PRIMARY OUTCOME: Differences in time of detection of possible sepsis, differences in time of the first lactate level‐test and differences in time of the first resuscitation bundle were registered in both groups. SECONDARY OUTCOME: Number of septic patients in both groups. ; Duration of inotropic therapy ( hours) in both groups. ; ; Duration of mechanical ventilation ( hours) in both groups. ; INCLUSION CRITERIA: 1. Patients admitted between Januari 1, 2009 ‐ March 1, 2010; 2. Adult patients admitted on the surgical intensive care unit (at least 18 years of age); 3. Patients receiving major thoracic, vascular, neuro, abdominal and urologic surgery; 4. Polytraumapatients.