Thirty-Day Mortality in Septic Shock Patients is Directly Associated with High Disease Severity Score but not with the Length of Stay in the Emergency Department

Abstract

Aim: To determine the factors associated with mortality in septic shock patients who are transferred from the emergency department (ED)to the intensive care unit (ICU).Materials and Methods: We used the data of 206 patients who were admitted to the ED with infection and were diagnosed with septic shockbetween December 2016 and January 2020.Results: The 206 patients had a mean Glasgow Coma score of 11.42 (range: 3-15), mean Acute Physiology and Chronic Health Evaluation(APACHE-II) score of 21.66 (range: 8-49) and mean Sequential Organ Failure Assessment Score (SOFA) of 10.24 (range: 2-22). There were nodifferences in 30-day mortality and in need for renal replacement therapy (RRT) or mechanical ventilation (MV) between patients transferredto the ICU within 1 hour of ED admission and those transferred to the ICU more than 6 hours after ED admission (p>0.05). Patients with anAPACHE-II score ≥20 or a SOFA score ≥8 had longer MV duration and ICU and hospital stay, greater RRT and MV need and higher mortality ratethan the patients with lower value (p