Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization

Barreto, Maynara Fernanda Carvalho; Dellaroza, Mara Solange Gomes; Kerbauy, Gilselena; Grion, Cíntia Magalhães Carvalho

doi:10.1590/s0080-623420160000200017

Cited by 47 publications

(61 citation statements)

References 17 publications

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“…Outro autor relata pacientes com sepse no período pós-operatório com uma predominância do sexo masculino sobre o feminino (79% vs. 21% respectivamente) (23) . Contraditoriamente, foram encontrados estudos nos quais a maioria da população internada era do sexo feminino (24,25) . Em virtude do grande número de prontuários, optou-se por agrupar os pacientes a partir de faixas etárias, sendo a faixa etária mais prevalente a de 51 a 70 anos, com 124 pacientes (35,7%), o que corrobora um estudo apontando que a sepse ocorre em adultos com mais de 65 anos de idade (26) .…”

Section: Discussionunclassified

Diagnóstico De Sepse Em Pacientes Após Internação Em Unidade De Terapia Intensiva

Moura¹,

Sanches²,

Pereira³

et al. 2017

ACS

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Conflito de interesses:Não Contribuição dos autores: JMM coleta, tabulação, delineamento do estudo e redação do manuscrito. EBS delineamento do estudo. RAPM delineamento do estudo e elaboração do manuscrito. ISF orientação do projeto, discussão dos achados, etapas de execução e elaboração do manuscrito, delineamento do estudo e elaboração do manuscrito. LMC orientação do projeto, delineamento do estudo e elaboração do manuscrito. ALW orientação do projeto, discussão dos achados, etapas de execução e elaboração do manuscrito, delineamento do estudo e elaboração do manuscrito. Contato para correspondência: Joice Marques Moura E-mail: joice_aww@hotmail. AbstractIntroduction: Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response to infection. Patients with sepsis (formerly called severe sepsis) should still be identified by the same organ dysfunction criteria (including lactate level greater than 2 mmol/L). Organ dysfunction may also be identified in the future using the quick Sepsis-Related Organ Failure Assessment (qSOFA). Currently, sepsis is one of the main causes of mortality in Intensive Care Units. In 2003, the Sepsis Surviving Campaign was created, elaborating a schedule of actions to reduce the incidence of sepsis, especially in intensive care units. Objective: To know the clinical characteristics and outcome of patients who developed sepsis during Intensive Care Units admission. Material and Methods: This is a retrospective, descriptive study using a quantitative approach performed at the Intensive Care Units. Data were obtained through an electronic medical record. The software Epi Info, version 7.2.1.0 was used to analyze data. Results:The largest number of patients hospitalized was male, aged from 51 to 70 years. The most common comorbidities were Systemic Hypertension, Diabetes Mellitus, alcoholism, smoking, and heart disease. The most analyzed post-sepsis outcome was discharge from Intensive Care Units, and the patients were considerably males. Conclusion: We conclude that the patients who most developed sepsis were men (62%), aged ranging from 51 to 70 years (36%). The main comorbidity was systemic hypertension (42%) and the most observed outcome was discharge from the Intensive Care Units (67%). consenso e novas definições de sepse foram publicadas, conhecidas como Sepsis 3, definida pela "presença de disfunção orgânica ameaçadora à vida secundária à resposta desregulada do organismo à infecção" (2) . Para avaliação do diagnóstico clínico de disfunção or gânica, atualmente são observados uma variação de dois ou mais pontos no escore Sequential Organ Failure Assessment (SOFA). Os critérios da síndrome da resposta inflamatória sistêmica (SRIS) não são mais usados para a definição. Os casos de sepse passam a ser considerados como doença grave, assim, não se usa mais a expressão "sepse grave". Choque séptico é definido como "um subgrupo dos pacientes com sepse que apresentam acentuadas anormalidades circulatórias, celulares e metabólicas e associadas com maio...

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Section: Discussionunclassified

Diagnóstico De Sepse Em Pacientes Após Internação Em Unidade De Terapia Intensiva

Moura¹,

Sanches²,

Pereira³

et al. 2017

ACS

View full text Add to dashboard Cite

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“…(24,25) Various factors related to length of time in the ICU should be taken into account, such as length of time of sedation, vasoactive drugs and drains; postoperative complications, sepsis and others. (28) Better use of sedation and analgesia protocols in developed countries may explain the briefer length of stay. (28) The percentage of patients with comorbidities in this study was lower than in a national study.…”

Section: Discussionmentioning

confidence: 99%

“…(28) Better use of sedation and analgesia protocols in developed countries may explain the briefer length of stay. (28) The percentage of patients with comorbidities in this study was lower than in a national study. (23) In France, the CCI median score was the same as this study.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, this study occurred in a developed country which favors the prevention of adverse events through better use of safety protocols. (28) Another study conducted in Table 1. Analysis of the influence of demographic and clinical variables on the overall and stratified frequency of no harm incidents in admissions of elderly people to an ICU-A in a public hospital…”

Section: Discussionmentioning

confidence: 99%

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Fatores associados aos incidentes de segurança entre idosos em terapia intensiva

Barcelos

Tavares

2017

Acta paul. enferm.

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Objective: Verify demographic and clinical factors associated with patient safety incidents among elderly people in intensive care. Methods: Retrospective study of 112 medical records of elderly people admitted to an intensive care unit in 2015. The data were collected from January to June 2016, using: a form for population characterization; the Simplified Acute Physiology Score II; the Charlson Comorbidity Index and the International Classification for Patient Safety; analyzed by multiple linear regression (p < 0.05). Results: Length of stay increased all types of no harm incidents, general adverse events, clinical process/ procedure and infection. There was a higher number of nutrition-related no harm incidents among men, and administration-related adverse events among women. The age group of 69 to 70 years increased the number of medication-related no harm incidents. Hospitalization for clinical reasons increased behavior-related no harm incidents, whereas for surgical reasons it boosted the number of infection-related adverse events. Conclusion: Length of stay; sex; age group and hospitalization were associated with increased no harm incidents and adverse events.

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“…This condition is currently considered a public health problem and one of the main causes of mortality in Intensive Care Units (ICUs). [1][2] It is noted that although its incidence is showing a reduction in developed countries, such as Australia, sepsis still remains without significant decrease in developing countries like Brazil. It is pointed out that, in addition to social costs and lost lives, sepsis is responsible for an expressive financial burden.…”

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confidence: 99%

Perfil epidemiológico dos pacientes com sepse de foco abdominal

Volpáti

Prado

Maggi

2019

Rev enferm UFPE on line.

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Objetivo: identificar o perfil epidemiológico, os fatores associados ao óbito e nortear as intervenções de enfermagem frente aos pacientes com sepse de foco abdominal. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado com 40 pacientes internados em uma em uma Unidade de Terapia Intensiva. Realizou-se a associação com o óbito por meio dos testes de qui-quadrado de Pearson e exato de Fisher. Apresentaram-se os resultados em forma de tabelas. Resultados: registra-se que, dos 40 (100%) pacientes, 57,5% eram do sexo masculino, 67,5% tinham um diagnóstico inicial pertencente ao sistema gastrointestinal. Elencam-se as variáveis que apresentaram a associação com o óbito nesta UTI: idade maior a 60 anos, que, embora representasse apenas 22,5% da amostra, respondeu por, aproximadamente, 90% das mortes (p-valor 0,005) e pacientes que foram classificados com choque séptico, já que 56,7% dos 75% foram a óbito (p-valor 0,04). Conclusão: entende-se que os fatores de risco associados ao óbito nos pacientes com sepse de foco abdominal na UTI estão relacionados com idade maior a 60 anos e com choque séptico. Descritores: Sepse; Fatores de Risco; Mortalidade; Unidade de Terapia Intensiva; Enfermagem; Perfil Epidemiológico.Abstract Objective: to identify the epidemiological profile, the factors associated with death, and to guide nursing interventions in patients with sepsis of abdominal focus. Method: this is a quantitative, descriptive, cross-sectional study of 40 patients hospitalized in one in an Intensive Care Unit. The association with death was performed using Pearson's chi-square test and Fisher's exact test. Results were presented in the form of tables. Results: it was recorded that of the 40 (100%) patients, 57.5% were male, 67.5% had an initial diagnosis belonging to the gastrointestinal system. The variables that showed association with death in this ICU were: age greater than 60 years, which, although representing only 22.5% of the sample, accounted for approximately 90% of the deaths (p-value 0.005) and patients which were classified as septic shock, since 56.7% of the 75% died (p-value 0.04). Conclusion: it is understood that the risk factors associated with death in patients with sepsis of abdominal focus in the ICU are related to age greater than 60 years and with septic shock. Descriptors: Sepsis; Risk Factors; Mortality; Intensive Care Unit; Nursing; Profile Epidemiological.Resumen Objetivo: identificar el perfil epidemiológico, los factores asociados al óbito y orientar las intervenciones de enfermería frente a los pacientes con sepsis de foco abdominal. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 40 pacientes internados en una Unidad de Terapia Intensiva. Se realizó la asociación con el óbito por medio de las pruebas de chi-cuadrado de Pearson y exacto de Fisher. Se presentaron los resultados en forma de tablas. Resultados: se registra que, de los 40 (100%) pacientes, el 57,5% eran del sexo masculino, el 67,5% tenían un diagnóstico inicial perteneciente al sistema gastrointestinal. Se identifican las variables que presentaron la asociación con el óbito en esta UTI: edad mayor a 60 años, que, aunque representaba apenas el 22,5% de la muestra, respondió por aproximadamente el 90% de las muertes (p-valor 0,005) y pacientes que fueron clasificados con shock séptico, ya que el 56,7% del 75% fue la muerte (p-valor 0,04). Conclusión: se entiende que los factores de riesgo asociados al óbito en los pacientes con sepsis de foco abdominal en la UTI están relacionados con edad mayor a 60 años y con shock séptico. Descriptors: Sepsis; Factores de riesgo; Mortalidad; Intensive Care Unit; Enfermería; Perfil Epidemiológico.

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Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization

Cited by 47 publications

References 17 publications

Diagnóstico De Sepse Em Pacientes Após Internação Em Unidade De Terapia Intensiva

Diagnóstico De Sepse Em Pacientes Após Internação Em Unidade De Terapia Intensiva

Fatores associados aos incidentes de segurança entre idosos em terapia intensiva

Perfil epidemiológico dos pacientes com sepse de foco abdominal

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