Mortality difference between early-identified sepsis and late-identified sepsis
| Autor: | Taeoh Jeong, Woon Jee, Young Ho Jin, Jae Baek Lee, Boyoung Park, Sion Jo, Jae Chol Yoon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
030204 cardiovascular system & hematology Emergency Nursing law.invention Sepsis 03 medical and health sciences 0302 clinical medicine law Fraction of inspired oxygen Internal medicine medicine Mortality business.industry Septic shock Mortality rate Glasgow Coma Scale 030208 emergency & critical care medicine Emergency department medicine.disease Intensive care unit Shock septic Emergency Medicine SOFA score Original Article business |
| Zdroj: | Clinical and Experimental Emergency Medicine |
| ISSN: | 2383-4625 |
| Popis: | OBJECTIVE The aim of the study was to compare the mortality rates of patients with early-identified (EI) sepsis and late-identified (LI) sepsis. METHODS We performed a retrospective chart review of patients admitted to the emergency department and diagnosed with sepsis. EI sepsis was defined as patients with a Sequential Organ Failure Assessment (SOFA) score ≥2, based on 3 parameters of the SOFA score (Glasgow coma scale, mean arterial pressure, and partial pressure of oxygen/fraction of inspired oxygen ratio), measured within an hour of emergency department admission. The remaining patients were defined as LI sepsis. The primary outcome was in-hospital mortality. RESULTS Of the total 204 patients with sepsis, 113 (55.4%) had EI sepsis. Overall mortality rate was 15.7%, and EI sepsis group had significantly higher mortality than LI sepsis (23.0% vs. 6.6%, P=0.003). The patients with EI sepsis, compared to those with LI sepsis, had higher SOFA score (median: 4 vs. 2, P |
| Databáze: | OpenAIRE |
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