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<p class="MsoNormal">Dear All,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I’m working on developing a model to predict compliance with SEP-1.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I have a list below of variables that may be of interest, but I’m wondering if you might send me additional variables you think could be related.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Just to clarify, SEP-1 excludes transfers, CMO status. <o:p>
</o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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<ol style="margin-top:0in" start="1" type="1">
<li class="MsoNormal" style="mso-list:l1 level1 lfo3"><a name="_MailOriginalBody">Age at admission<o:p></o:p></a></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Sex<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Ethnicity (Hispanic)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Race<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Initial hypotension (triggers fluid requirement, thus an opportunity to fail to comply)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Persistent hypotension (triggers vasopressors, thus an opportunity to fail to comply)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Septic shock<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Lactate > 2 (triggers a repeat lactate, thus another opportunity to fail to comply)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Lactate > 4 (triggers shock as well as fluid administration = opportunities to fail to comply)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Already on antibiotics prior to time of presentation (makes it easier to comply)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Already had blood cultures collected prior to time of presentation (makes it easier to comply)<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:0in;mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">CHF (less likely to comply given known physician behavior)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Cardiomyopathy (less likely to comply given known physician behavior)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">ESRD (less likely to comply given known physician behavior)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Morbid Obesity (less likely to comply given known physician behavior)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Cirrhosis (less likely to comply given know physician behavior)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Admitted during the day (more likely to comply given staff present)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Admit type (Emergent, urgent, elective)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Presence of an advanced directive<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Qualification to receive Medicare benefits (disabled, ESRD, old age)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Type of insurance (Medicare part D implies more access to drugs, Medicare Part B implies better outpatient care, Medicare part C = better managed care)<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Surgery during the hospitalization<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Admit from SNF versus home<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">DRG assigned<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Primary diagnosis<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Secondary diagnosis<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">Zip code<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="mso-bookmark:_MailOriginalBody">State
<o:p></o:p></span></li></ol>
<p class="MsoNormal"><span style="mso-bookmark:_MailOriginalBody"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-bookmark:_MailOriginalBody">Sean <o:p></o:p></span></p>
<p class="MsoNormal"><span style="mso-bookmark:_MailOriginalBody"> </span><o:p></o:p></p>
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