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ISSN 1029-3043 (Electronic)

2019, Number 3

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Medicentro 2019; 23 (3)

Results of the implementation of a new protocol for the sepsis management

Cordié MF, García HVR, Rosales GJ, Álvarez PA, González GJ

Language: Spanish
References: 23
Page: 163-176
PDF size: 394.22 Kb.


ABSTRACT

Introduction: sepsis is a major cause of hospitalization with a high mortality rate. It occurs in 1 % to 2 % of all hospitalizations in the United States, affecting at least 750 000 persons with a cost of $17 billion per year.
Objective: to describe the implementation results of Qatar Sepsis Guideline in the Intensive Care Unit.
Method: an observational descriptive retrospective and comparison study of cases series in 110 patients admitted at the intensive care unit at the Cuban Hospital in Dukhan, Qatar with diagnosis of sepsis and septic shock was done (from November 2015 to June 2017).
Results: All patient of the B group were assisted according with the new protocol, 42 patients (70 %) with less than 90 % of compliance of the bundles but they were more than 80 % and 30 % of cases with more than 90 % of compliance of guidelines (p = 0.032). On the other hand the majority of patients were discharged alive, independently of the protocols used (N = 103) to 93.6%.
Conclusion: this study demonstrated that the 90 % or more compliance of Qatar Sepsis Guidelines significantly reduces the mortality; although larger series of cases studies are required.


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