Development and validation of the STeP score for predicting tracheostomy in patients with sepsis using a nationwide ICU database: a retrospective observational study.

ABSTRACT:

Background

Among patients with sepsis admitted to the intensive care unit (ICU), a substantial proportion require mechanical ventilation, and a subset eventually undergo tracheostomy. Early identification of patients at high risk for tracheostomy may facilitate timely decision-making and improve clinical communication.

Methods

We conducted a nationwide, retrospective study using the Japanese Intensive care PAtient Database (JIPAD). Adult patients with sepsis (Sequential Organ Failure Assessment score of ≥ 2, excluding viral pneumonia) who required mechanical ventilation between 2018 and 2022 were included. The primary outcome was tracheostomy within 14 days of ICU admission. Seventy-five variables available within 24 h of ICU admission were collected. Using least absolute sh

SUBMITTER: Kikutani K 

PROVIDER: S-EPMC12619163 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature