June 10, 2026 · Emergency medicine journal : EMJ · DOI: 10.1136/emermed-2025-215749

Prediction of bloodstream infection using triage variables in the emergency department: retrospective derivation and validation cohort

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The authors aimed to develop and validate a simple risk score, the GOTHIC score, for predicting bloodstream infections in febrile patients in the emergency department using variables assessable at triage. Through a retrospective analysis of 6,740 patient visits, they identified seven key triage factors associated with bloodstream infections, allowing for improved decision-making regarding blood culture testing. The study highlights the potential for this score to enhance triage efficiency and reduce unnecessary blood cultures.

Frederic Balen, Xavier Dubucs, Marion Graciet, Damien Dubois, Olivier Azema, Sylvie Saivin, Clément Viguier, Sandrine Charpentier, Guillaume Martin-Blondel, Venkatesh Thiruganasambandamoorthy

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