The chain of survival and rehabilitation for sepsis: concepts and proposals for healthcare trajectory optimization

Autor: Romain Jouffroy, Félix Djossou, Rémi Neviere, Samir Jaber, Benoît Vivien, Nicholas Heming, Papa Gueye
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Annals of Intensive Care, Vol 14, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 2110-5820
DOI: 10.1186/s13613-024-01282-6
Popis: Summary This article describes the structures and processes involved in healthcare delivery for sepsis, from the prehospital setting until rehabilitation. Quality improvement initiatives in sepsis may reduce both morbidity and mortality. Positive outcomes are more likely when the following steps are optimized: early recognition, severity assessment, prehospital emergency medical system activation when available, early therapy (antimicrobials and hemodynamic optimization), early orientation to an adequate facility (emergency room, operating theater or intensive care unit), in-hospital organ failure resuscitation associated with source control, and finally a comprehensive rehabilitation program. Such a trajectory of care dedicated to sepsis amounts to a chain of survival and rehabilitation for sepsis. Implementation of this chain of survival and rehabilitation for sepsis requires full interconnection between each link. To date, despite regular international recommendations updates, the adherence to sepsis guidelines remains low leading to a considerable burden of the disease. Developing and optimizing such an integrated network could significantly reduce sepsis related mortality and morbidity.
Databáze: Directory of Open Access Journals
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