Epidemiology of severe sepsis in the emergency department and difficulties in the initial assistance.

Clinics
Ederlon RezendeSamantha Longhi Almeida

Abstract

The aim of this study was to determine the occurrence rate, demographics, clinical characteristics, and outcomes of patients with severe sepsis admitted to the emergency department. A prospective study evaluating all patients admitted to the emergency department unit in a public hospital of tertiary complexity in a six-month period was conducted. During this period, the emergency team was trained to diagnose sepsis. Patients who met the diagnostic criteria for severe sepsis were followed until their discharge from the hospital. A total of 5,332 patients were admitted to the emergency department, and 342 met the criteria for severe sepsis/septic shock. The median (interquartile range) age of patients was 74 (65-84) years, and 52.1% were male. The median APACHE II and SOFA scores at diagnosis were 19 (15-25) and 5 (3-7), respectively. The median number of dysfunctional organ systems per patient was 2 (1-3). The median hospital length of stay was 10 (4.7-17) days, and the hospital mortality rate was 64%. Only 31% of the patients were diagnosed by the emergency department team as septic. About 33.5% of the 342 severe sepsis patients admitted to the emergency department were referred to an ICU, with a median time delay of 24 (12-48)...Continue Reading

Citations

Oct 19, 2011·Anesthesiology Research and Practice·João M SilvaLuiz M Sá Malbouisson
Mar 8, 2014·Revista da Escola de Enfermagem da U S P·Milena Penteado Ferraro MirandaSilvia Regina Secoli
Apr 27, 2017·Einstein·Ana Carolina Queiroz Godoy DanielEugenia Velludo Veiga
Oct 24, 2018·Journal of Intensive Care·Shigeaki InoueJoji Kotani
Nov 23, 2019·International Journal of Emergency Medicine·Hudson Henrique Gomes PiresAntonio Pazin-Filho
Nov 6, 2014·Critical Care : the Official Journal of the Critical Care Forum·Leandro U TaniguchiLuciano C P Azevedo
May 12, 2020·Journal of Intensive Care·Elliott D CrouserLiliana Tejidor
Jan 1, 2014·Advances in Medicine·Neera Chaudhry, Ashish Kumar Duggal
Aug 10, 2012·Medizinische Klinik, Intensivmedizin und Notfallmedizin·J WilhelmK Werdan
Mar 8, 2016·Journal of Critical Care·Detajin JunhasavasdikulSumalee Kiatboonsri
Jun 12, 2021·Journal of Applied Statistics·Chen FengYajun Mei

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Software Mentioned

SPSS
Excel

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.