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Background Several scoring system have been developed with the aim to identify clinical deterioration among hospitalized patients and allocate resources in accordance with the degree of deterioration - most without validation. The aim of the present study was to describe to which degree the system “Tidlig Opsporing af Kritisk Sygdom” (TOKS) is able to identify patients who either have or develop severe sepsis or septic shock within 24 after arrival to hospital. Methods A retrospective descriptive study of patients hospitalized with community acquired severe sepsis or septic shock. Patients were identified based at discharge diagnosis ((IDC10 code A40.0-A41.9). Based at a manual evaluation of all patient records patients were included if they within the first 24 hours after arrival to the hospital fulfilled predefined criteria for severe sepsis or septic shock. Vital values registered at arrival to the hospital were identified and used for the present analysis. TOKS score is based at scores for respiratory frequency, saturation, systolic blood pressure, pulse rate, consciousness and temperature. The score range from 0 to 21 with an indication of need for a doctoral evaluation if the score is 3 or higher. Results

How well does TOKS identify patients with severe sepsis or septic shock?