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- Title
Epidemiology and Microbiology of Sepsis Syndromes in a University-Affiliated Urban Teaching Hospital and Level-1 Trauma and Burn Center.
- Authors
Tulloch, Luis G.; Chan, Jeannie D.; Carlbom, David J.; Kelly, Mary Jo; Dellit, Timothy H.; Lynch, John B.
- Abstract
Purpose: To use the 2010 to 2011 data collected by structured chart review to provide a detailed up-to-date description of the epidemiology and microbiology of the sepsis syndromes. Methods: Prospective observational study conducted at a university-affiliated urban teaching hospital and level-1 trauma and burn center. All adult patients who triggered a Code Sepsis in the emergency department (ED) between January 2010 and December 2011 were included. Results: One hundred eighty four patients presented with a verified sepsis syndrome and triggered a Code Sepsis in the ED during the studied time period. The mean hospital and intensive care unit length of stays (LOSs) were 15.4 (interquartile range [IQR] = 14) and 6.7 (IQR = 5) days, respectively. The total inpatient mortality was 19% (n = 35). Patients with an unspecified source of infection and those without an isolated pathogen had the highest inpatient mortality, 42.1% (n = 8) and 23.3% (n = 10), respectively. Conclusion: Hospital mortality and hospital LOS of sepsis are similar to those reported in other observational studies. Our study confirms a decline in the mortality of sepsis predicted by earlier longitudinal studies and should prompt a resurgence of epidemiological research of the sepsis syndromes in the United States.
- Subjects
UNITED States; SYSTEMIC inflammatory response syndrome; EMERGENCY medical services; EPIDEMIOLOGY; SCIENTIFIC observation; SEPTIC shock; SEPSIS; PREVENTION
- Publication
Journal of Intensive Care Medicine, 2017, Vol 32, Issue 4, p264
- ISSN
0885-0666
- Publication type
Article
- DOI
10.1177/0885066615592851