Outcome of Septic Shock in Older Adults After Implementation of the Sepsis “Bundle”

Autor:	Ali A. El Solh, Morohunfolu E. Akinnusi, Lilibeth A. Pineda, Leith N. Alsawalha
Rok vydání:	2008
Předmět:	medicine.medical_specialty Septic shock business.industry Hazard ratio medicine.disease Intensive care unit law.invention Surgery Sepsis law Anesthesia Shock (circulatory) Bacteremia medicine Geriatrics and Gerontology medicine.symptom Prospective cohort study business Survival rate
Zdroj:	Journal of the American Geriatrics Society. 56:272-278
ISSN:	1532-5415 0002-8614
DOI:	10.1111/j.1532-5415.2007.01529.x
Popis:	OBJECTIVES: To evaluate the effect on 28-day mortality of implementation of a sepsis “bundle” protocol for the treatment of older adults with septic shock. DESIGN: Observational prospective study with a historical control group. SETTING: Tertiary care center. PARTICIPANTS: Eighty-seven consecutive patients recruited between May 2004 and February 2007 matched to a historic group identified between March 2001 and April 2004. INTERVENTIONS: Implementation of a sepsis protocol for the management of septic shock. RESULTS: Subjects who were treated according to the sepsis “bundle” had an absolute risk reduction in 28-day mortality of 16% (95% confidence interval (CI)=−31% to −2%). The treatment group received a larger volume of fluid in the first 6 hours of presentation (3,960 ± 1,990 vs 2,490 ± 1,020 mL; P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a0cb95a83bcf254f731eed3e58e26922 https://doi.org/10.1111/j.1532-5415.2007.01529.x Zobrazit plný text záznamu Plný text