Sepsis-3 criteria in AmsterdamUMCdb: open-source code implementation

Sepsis is a major healthcare problem with substantial mortality and a common reason for admission to the intensive care unit (ICU). For this reason, the management of sepsis is an important area of ICU research. A number of large-scale, freely-accessible ICU databases are available for observational research and the robust identification of septic patients in such data sets is crucial for research purposes, particularly for comparative studies between critical care sub-populations which may vary around the world. However, data structures are poorly standardised due to inevitable variances in clinical electronic health record system vendor and implementation as well as research database design choices. Robust and well-documented cohort selection (such as patients with sepsis) is crucial for reproducible research. In this work, we operationalise the Sepsis-3 definition on the AmsterdamUMCdb, a recently published large European ICU database, publishing open-access code for wider use by critical care researchers.