The following items are answered for the HAI that is considered for mortality review Isolate_1 result: Pathogen coded as in HAI‐Net protocol (Appendix C) NA = Results not available NOEXA = Examination not done NONID = Microorganism not identified STERI = Sterile examination Isolate_2 result: Pathogen coded as in HAI‐Net protocol (Appendix C) NA = Results not available NOEXA = Examination not done NONID = Microorganism not identified STERI = Sterile examination CHECKLIST for Contribution of HAI to death of the patient Date of death dd/mm/yyyy Q1 Checklist: What was the expected hospital mortality at hospital admission? Based on the acute condition that led to admission to the hospital and the patient’s comorbidities (McCabe, Charlson’s comorbidity score). For patients directly admitted in ICU at hospital admission: no need to enter as this will be based on the SAPS II/III or Apache II/IV score (at admission) in that case. O very low (<1%) O low (1‐5%) O medium (5‐25%) O high (>25%) Q2 Checklist: To be considered for Q1 when not admitted to ICU at hospital admission – see page 1 McCabe score Q3 Checklist: To be considered for Q1 when not admitted to ICU at hospital admission ‐ see page 1 Charlson’s comorbidity score – associated one‐year mortality Q4 Checklist: To be considered for Q1 when not admitted to ICU at hospital admission ‐ see page 1 ASA score These items (Q2‐Q4) and the following items are to be considered for Contribution of HAI to the death: Q5 Checklist: SAPS II/III or Apache II/IV score ‐ when HAI developed in ICU – see page 1 Q6 Checklist: SOFA score (when available) ‐ when HAI developed in ICU. – see page 1 Q7 Checklist: Active infection Was the HAI or a complication active at time of death? O No O Yes Q8 Checklist: Severity of HAI Severity of HAI: The HAI is considered severe in case of at least one organ failure, e.g. respiratory failure, septic shock or ARDS and, for CDI, in case of surgery (colectomy) for toxic megacolon, perforation or refractory colitis. O Not severe O Severe Q9 Checklist: Pathophysiological mechanism for contribution of HAI Was there a plausible pathophysiological mechanism to assume that the HAI contributed to the death of the patient (consider infection type, complication of HAI, involved microorganisms, antimicrobial resistance, whether treatment was effective)? O No O Possibly O Yes Q10a Checklist: Competing cause Was another cause for the death present during the current hospitalisation/ICU admission? O No O Possibly O Yes 128 Chapter 6
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