Mortality of patients with sepsis in intensive care units at tertiary hospitals in Jordan: Prospective cohort study.

Autor: Al Omar S; Faculty of Nursing, Al-Balqa Applied University, Salt, Jordan., Alshraideh JA; Acute and Critical Care, University of Jordan, Amman, Jordan., Oweidat I; Community and Mental Health Nursing Department, Faculty of Nursing, Zarqa University, Zarqa, Jordan., Al Qadire M; College of Nursing, Sultan Qaboos University, Muscat, Oman.; Faculty of Nursing, Al Al-Bayt University, Mafraq, Jordan., Khalaf A; The PRO-CARE Group, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.; Department of Nursing, Fatima College of Heath Sciences, Ajman, United Arab Emirates., Abu Sumaqa Y; Faculty of Nursing, Al-Balqa Applied University, Salt, Jordan., Al-Mugheed K; College of Nursing, Riyadh Elm University, Riyadh, Saudi Arabia., Saeed Alabdullah AA; Department of Maternity and Pediatric Nursing College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia., Farghaly Abdelaliem SM; Department of Nursing Management and Education, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: Medicine [Medicine (Baltimore)] 2024 Oct 25; Vol. 103 (43), pp. e40169.
DOI: 10.1097/MD.0000000000040169
Abstrakt: The aim of this study was to describe the 30-day mortality rate of adult patients with sepsis and septic shock in 6 intensive care units of 2 tertiary hospitals in Jordan. A prospective cohort design was used. Patients with sepsis and septic shock admitted to the medical and surgical intensive care units at 2 tertiary hospitals were followed up during the period between February 2022 and June 2022 (N = 148). Data were analyzed using SPSS, version 23. Moreover, descriptive statistics, chi-square, and binary logistic regression were used. Notably, 52.7% of patients with sepsis and septic shock died within 30 days of diagnosis of sepsis and septic shock. Sequential Organ Failure Assessment score and the history of having solid tumors significantly predicted the 30-day mortality rate. Moreover, 43 (29.0%) patients with sepsis and septic shock had positive blood cultures, and 46 (31.0%) had positive urine cultures. Patients with sepsis and septic shock have a notable mortality rate that can be predicted from total Sequential Organ Failure Assessment scores and from the history of having solid tumors. Early assessment and initiation of treatment for sepsis essentially would reduce the likelihood of progression of sepsis to septic shock and would reduce associated patients' mortality.
Competing Interests: The authors have no conflicts of interests to disclose.
(Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE