Think sepsis, write sepsis, code sepsis - patient characteristics associated with sepsis (under-)coding in administrative health data.

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Title: Think sepsis, write sepsis, code sepsis - patient characteristics associated with sepsis (under-)coding in administrative health data.
Authors: Thomas-Rüddel D; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.; Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA., Rose N; Institute of Infectious Diseases and Infection Control, Jena University Hospital, Erlanger Allee 103, 07747, Jena, Germany., Fleischmann-Struzek C; Institute of Infectious Diseases and Infection Control, Jena University Hospital, Erlanger Allee 103, 07747, Jena, Germany., Reinhart K; Visiting Professor for Sepsis Awareness and Advocacy, Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Boden B; Department of Internal Medicine II - Intensive Care, Klinikum Lippe GmbH, Röntgenstraße 18, 32756, Detmold, Germany., Dorow H; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany., Edel A; Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Gonnert FA; Department of Anaesthesiology and Intensive Care Medicine, SRH Wald-Klinikum, Straße des Friedens 122, 07548, Gera, Germany., Götz J; Department of Internal Medicine II - Intensive Care, Klinikum Lippe GmbH, Röntgenstraße 18, 32756, Detmold, Germany., Gründling M; Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany., Heim M; TUM School of Medicine and Health, Department of Anesthesiologie and Intensive Care Medicine, Technical University of Munich, TUM University Hospital, Munich, Germany., Holbeck K; TUM School of Medicine and Health, Department of Anesthesiologie and Intensive Care Medicine, Technical University of Munich, TUM University Hospital, Munich, Germany., Jaschinski U; Department of Anaesthesiology and Surgical Intensive Care Medicine, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany., Koch C; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany., Künzer C; Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Le Ngoc K; Department of Anaesthesiology and Intensive Care Medicine, SRH Wald-Klinikum, Straße des Friedens 122, 07548, Gera, Germany., Lindau S; Faculty of Medicine, Department of Anesthesiology and Intensive Care Medicine, University of Cologne, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany., Mehlmann NB; Department of Anaesthesiology and Surgical Intensive Care Medicine, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany., Meybohm P; Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberduerrbacher Straße 6, 97080, Würzburg, Germany., Neb H; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany., Nordine M; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany., Ouart D; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany., Putensen C; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany., Sander M; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany., Schewe JC; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.; Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medical Centre Rostock, Schillingallee 35, 18057, Rostock, Germany., Schlattmann P; Institute for Medical Statistics, Computer Science and Data Science, Jena University Hospital, Bachstraße 18, 07743, Jena, Germany., Schmidt G; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany., Schneider G; TUM School of Medicine and Health, Department of Anesthesiologie and Intensive Care Medicine, Technical University of Munich, TUM University Hospital, Munich, Germany., Spies C; Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Steinsberger F; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany., Tam C; Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA., Zacharowski K; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany., Zinn S; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany., Schwarzkopf D; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany. daniel.schwarzkopf@med.uni-jena.de.
Source: Infection [Infection] 2026 Feb; Vol. 54 (1), pp. 421-432. Date of Electronic Publication: 2025 Dec 08.
Publication Type: Journal Article; Multicenter Study
Journal Info: Publisher: Springer Heidelberg Country of Publication: Germany NLM ID: 0365307 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-0973 (Electronic) Linking ISSN: 03008126 NLM ISO Abbreviation: Infection Subsets: MEDLINE
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  Data: Think sepsis, write sepsis, code sepsis - patient characteristics associated with sepsis (under-)coding in administrative health data.
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  Data: <searchLink fieldCode="AU" term="%22Thomas-Rüddel+D%22">Thomas-Rüddel D</searchLink>; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.; Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.<br /><searchLink fieldCode="AU" term="%22Rose+N%22">Rose N</searchLink>; Institute of Infectious Diseases and Infection Control, Jena University Hospital, Erlanger Allee 103, 07747, Jena, Germany.<br /><searchLink fieldCode="AU" term="%22Fleischmann-Struzek+C%22">Fleischmann-Struzek C</searchLink>; Institute of Infectious Diseases and Infection Control, Jena University Hospital, Erlanger Allee 103, 07747, Jena, Germany.<br /><searchLink fieldCode="AU" term="%22Reinhart+K%22">Reinhart K</searchLink>; Visiting Professor for Sepsis Awareness and Advocacy, Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Boden+B%22">Boden B</searchLink>; Department of Internal Medicine II - Intensive Care, Klinikum Lippe GmbH, Röntgenstraße 18, 32756, Detmold, Germany.<br /><searchLink fieldCode="AU" term="%22Dorow+H%22">Dorow H</searchLink>; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.<br /><searchLink fieldCode="AU" term="%22Edel+A%22">Edel A</searchLink>; Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Gonnert+FA%22">Gonnert FA</searchLink>; Department of Anaesthesiology and Intensive Care Medicine, SRH Wald-Klinikum, Straße des Friedens 122, 07548, Gera, Germany.<br /><searchLink fieldCode="AU" term="%22Götz+J%22">Götz J</searchLink>; Department of Internal Medicine II - Intensive Care, Klinikum Lippe GmbH, Röntgenstraße 18, 32756, Detmold, Germany.<br /><searchLink fieldCode="AU" term="%22Gründling+M%22">Gründling M</searchLink>; Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.<br /><searchLink fieldCode="AU" term="%22Heim+M%22">Heim M</searchLink>; TUM School of Medicine and Health, Department of Anesthesiologie and Intensive Care Medicine, Technical University of Munich, TUM University Hospital, Munich, Germany.<br /><searchLink fieldCode="AU" term="%22Holbeck+K%22">Holbeck K</searchLink>; TUM School of Medicine and Health, Department of Anesthesiologie and Intensive Care Medicine, Technical University of Munich, TUM University Hospital, Munich, Germany.<br /><searchLink fieldCode="AU" term="%22Jaschinski+U%22">Jaschinski U</searchLink>; Department of Anaesthesiology and Surgical Intensive Care Medicine, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.<br /><searchLink fieldCode="AU" term="%22Koch+C%22">Koch C</searchLink>; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany.<br /><searchLink fieldCode="AU" term="%22Künzer+C%22">Künzer C</searchLink>; Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Le+Ngoc+K%22">Le Ngoc K</searchLink>; Department of Anaesthesiology and Intensive Care Medicine, SRH Wald-Klinikum, Straße des Friedens 122, 07548, Gera, Germany.<br /><searchLink fieldCode="AU" term="%22Lindau+S%22">Lindau S</searchLink>; Faculty of Medicine, Department of Anesthesiology and Intensive Care Medicine, University of Cologne, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany.<br /><searchLink fieldCode="AU" term="%22Mehlmann+NB%22">Mehlmann NB</searchLink>; Department of Anaesthesiology and Surgical Intensive Care Medicine, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.<br /><searchLink fieldCode="AU" term="%22Meybohm+P%22">Meybohm P</searchLink>; Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberduerrbacher Straße 6, 97080, Würzburg, Germany.<br /><searchLink fieldCode="AU" term="%22Neb+H%22">Neb H</searchLink>; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany.<br /><searchLink fieldCode="AU" term="%22Nordine+M%22">Nordine M</searchLink>; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany.<br /><searchLink fieldCode="AU" term="%22Ouart+D%22">Ouart D</searchLink>; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.<br /><searchLink fieldCode="AU" term="%22Putensen+C%22">Putensen C</searchLink>; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.<br /><searchLink fieldCode="AU" term="%22Sander+M%22">Sander M</searchLink>; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany.<br /><searchLink fieldCode="AU" term="%22Schewe+JC%22">Schewe JC</searchLink>; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.; Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medical Centre Rostock, Schillingallee 35, 18057, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Schlattmann+P%22">Schlattmann P</searchLink>; Institute for Medical Statistics, Computer Science and Data Science, Jena University Hospital, Bachstraße 18, 07743, Jena, Germany.<br /><searchLink fieldCode="AU" term="%22Schmidt+G%22">Schmidt G</searchLink>; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany.<br /><searchLink fieldCode="AU" term="%22Schneider+G%22">Schneider G</searchLink>; TUM School of Medicine and Health, Department of Anesthesiologie and Intensive Care Medicine, Technical University of Munich, TUM University Hospital, Munich, Germany.<br /><searchLink fieldCode="AU" term="%22Spies+C%22">Spies C</searchLink>; Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Steinsberger+F%22">Steinsberger F</searchLink>; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Gießen, UKGM, Justus-Liebig University Gießen, Rudolf-Buchheim-Straße 7, 35392, Gießen, Germany.<br /><searchLink fieldCode="AU" term="%22Tam+C%22">Tam C</searchLink>; Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.<br /><searchLink fieldCode="AU" term="%22Zacharowski+K%22">Zacharowski K</searchLink>; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany.<br /><searchLink fieldCode="AU" term="%22Zinn+S%22">Zinn S</searchLink>; Department of Anaesthesiology, Intensive Care Medicine & Pain Therapy, University Hospital Frankfurt, Goethe University, Theodor- Stern-Kai 7, 60590, Frankfurt am Main, Germany.<br /><searchLink fieldCode="AU" term="%22Schwarzkopf+D%22">Schwarzkopf D</searchLink>; Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany. daniel.schwarzkopf@med.uni-jena.de.
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