Table 2– Treatment measures instituted
Treatment measureDelayed ICU admission, all patientsDirect ICU admission, all patientsp-value#Direct ICU admission, no IDSA/ATS major criteriap-value
Patients495425
Intubation at the ED0 (0)21 (38.9)<0.0010 (0)NA
Vasopressors started at the ED0 (0)17 (31.5)<0.0010 (0)NA
Fluids administered at the ED mL+500 (0–1000)2000 (500–4000)<0.0011500 (750–3000)<0.001
Antibiotics started at the ED34 (69.4)46 (85.2)0.0522 (88.0)0.08
Appropriate antibiotics given on day 1§45 (91.8)50 (92.6)1.0025 (100.0)0.29
  • Data are presented as n, n (%) or median (interquartile range), unless otherwise stated. ICU: intensive care unit; IDSA: Infectious Disease Society of America; ATS: American Thoracic Society; ED: emergency department; NA: not applicable. #: refers to comparison between all patients in the delayed group and the direct group; : refers to comparison between all patients in the delayed group and only patients presenting without IDSA/ATS major criteria in the direct group; +: amount expressed as the equivalent of normal saline; §: pathogens detected were susceptible to the antibiotics administered within 24 h of presentation, or no pathogens detected.