Sepsis in Buraidah Central Hospital, Qassim, Kingdom of Saudi Arabia.
| Autor: | Gasim GI; Qassim College of Medicine, Qassim University, Kingdom of Saudi Arabia., Musa IR; Buraidah Central Hospital, Kingdom of Saudi Arabia., Yassin T; Buraidah Central Hospital, Kingdom of Saudi Arabia., Al Shobaili HA; Qassim College of Medicine, Qassim University, Kingdom of Saudi Arabia., Adam I; Qassim College of Medicine, Qassim University, Kingdom of Saudi Arabia; Faculty of Medicine, University of Khartoum, Sudan. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of health sciences [Int J Health Sci (Qassim)] 2016 Apr; Vol. 10 (2), pp. 175-81. |
| Abstrakt: | Objectives: Severe sepsis is a major public health concern and a frequent cause of intensive care unit (ICU) admission with a high fatality rate. Higher (Sequential Organ Failure Assessment score) SOFA score and co-morbidity of acute renal failure (ARF) are risk factors contributing to fatal outcome. This work was meant to study the epidemiology of sepsis in Buraidah central hospital. Methods: This is a descriptive study conducted in the period from January 1, 2012, to June 29, 2012 to determine the epidemiology (incidence, clinical characteristics) and the outcome of sepsis in Buraidah hospital, Saudi Arabia. Results: Out of 387 patients admitted to ICU, 62 (16%) patients had sepsis, their mean (SD) age was 62.7 (21.3) years. Three quarters of them 47 (75.8%) presented with septic shock. The median APACHE II score was 26.5 (8 to 48) and SOFA score 11 (5 to 21). The mean of duration of hospital stay was 11.95 days. The most frequent infection site was the pulmonary (69.5%). There were 37 isolated organism, gram-negative organisms (13; 35.13%) were the predominant isolates. There were 25 (40.3%) deaths; the majority of the deaths were due to septic shock 20(80%). There was a significant difference between deaths and the survivors, in the APACHI II score, SOFA score), and whether ventilated or not. Conclusions: There was a high incidence of septic shock (and higher mortality) among the patients admitted to the ICU of Buraidah central hospital, especially among the elderly patients with respiratory infections. |
| Databáze: | MEDLINE |
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