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Journals / Journal of Health Sciences and Medicine / 2021 / Cilt: 4 - Sayı: 5

The evaluation of sepsis in the emergency department and its association with mortality

Fatma KESMEZ CAN
Erdal TEKİN
Abdullah CAN
Handan ALAY
Aysun ARAS
Pages
741–745
Publication Date
2021-09-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A statistically significant relationship was present between qSOFA scores and mortality (p

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Sepsis is a life-threatening organ dysfunction accompanied by a dysregulated host response to infection.
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Key Findings & Data:Early diagnosis and rapid treatment result in a decrease in sepsis-related deaths.
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Conclusion & Impact:A statistically significant relationship was present between qSOFA scores and mortality (p
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Sepsis · qSOFA · Emergency

Abstract

Aim: Sepsis is a life-threatening organ dysfunction accompanied by a dysregulated host response to infection. Patients with sepsis may present with different clinical manifestations, and there is no gold standard diagnostic test. Early diagnosis and rapid treatment result in a decrease in sepsis-related deaths. Quick Sequential Organ Failure Assessment (qSOFA) is a scoring system used in diagnosing sepsis through a rapid evaluation at the time of initial presentation. The purpose of this study was to evaluate the relationship between qSOFA scores and mortality in patients presenting to the emergency department with suspected sepsis. Material and Method: Seventy patients presenting to the Atatürk University Medical Faculty Emergency Department and commencing treatment with a preliminary diagnosis of sepsis between 01.12.2019 and 01.06.2020 were included in the research. Patients’ qSOFA scores were calculated, and their demographic data, infection parameters and foci, the clinics to which they were admitted, and outcomes were recorded. The data were analyzed, and the relationships between qSOFA classifications and other infection parameters (CRP, procalcitonin, and lactate) and mortality were examined. Results: Seventy percent (n=49) of the 70 patients in the study were discharged, while 30% (n=21) were exitus. A statistically significant relationship was present between qSOFA scores and mortality (p

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Cite This Article

CAN, F. K., TEKİN, E., CAN, A., ALAY, H., ARAS, A. (2021). The evaluation of sepsis in the emergency department and its association with mortality. Journal of Health Sciences and Medicine, Cilt: 4 - Sayı: 5, 741–745. https://ajindex.com/articles/776786

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References (12)

  1. Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA 2014; 312: 90-2.
  2. Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016; 315: 801-10.
  3. Perman SM, Goyal M, Gaieski DF. Initial emergency department diagnosis and management of adult patients with severe sepsis and septic shock. Scand J Trauma Resusc Emerg Med 2012; 20: 41. Gauer RL. Early recognition and management of sepsis in adults: the first six hours. Am Fam Physician 2013; 88: 44-53.
  4. Esper AM, Moss M, Lewis CA, Nisbet R, Mannino DM, Martin GS. The role of infection and comorbidity: Factors that influence disparities in sepsis. Crit Care Med 2006; 34: 2576-82.
  5. Cheng B, Li Z, Wang J, et al. Comparison of the Performance Between Sepsis-1 and Sepsis-3 in ICUs in China: A Retrospective Multicenter Study. Shock 2017; 48: 301-6.
  6. Raith EP, Udy AA, Bailey M, et al. Prognostic accuracy of the SOFA score, SIRS criteria, and qSOFA score for in-hospital mortality among adults with suspected infection admitted to the intensive care unit. JAMA 2017; 317: 290-300.
  7. Rhee C, Jones TM, Hamad Y, et al. Prevalence, underlying causes, and preventability of sepsis-associated mortality in US Acute Care Hospitals. JAMA Netw Open 2019; 2: e187571. Milbrandt EB, Eldadah B, Nayfield S, Hadley E, Angus DC. Toward an integrated research agenda for critical illness in aging. Am J Respir Crit Care Med 2010; 182: 995-03.
  8. Chen QH, Shao J, Liu WL, et al. Predictive accuracy of Sepsis-3 definitions for mortality among adult critically ill patients with suspected infection. Chin Med J (Engl) 2019; 132: 1147-53.
  9. Seymour CW, Liu VX, Iwashyna TJ, et al. Assessment of clinical criteria for sepsis: for the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016; 315: 762-74.
  10. Acharya SP, Pradhan B, Marhatta MN. Application of "the Sequential Organ Failure Assessment (SOFA) score" in predicting outcome in ICU patients with SIRS. Kathmandu Univ Med J (KUMJ) 2007; 5: 475-83.
  11. Khwannimit B, Bhurayanontachai R, Vattanavanit V. Comparison of the performance of SOFA, qSOFA and SIRS for predicting mortality and organ failure among sepsis patients admitted to the intensive care unit in a middle-income country. J Crit Care 2018; 44: 156-60.
  12. Wang JY, Chen YX, Guo SB, Mei X, Yang P. Predictive performance of quick Sepsis-related Organ Failure Assessment for mortality and ICU admis