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- Title
The chain of survival and rehabilitation for sepsis: concepts and proposals for healthcare trajectory optimization.
- Authors
Jouffroy, Romain; Djossou, Félix; Neviere, Rémi; Jaber, Samir; Vivien, Benoît; Heming, Nicholas; Gueye, Papa
- Abstract
Summary: This article describes the structures and processes involved in healthcare delivery for sepsis, from the prehospital setting until rehabilitation. Quality improvement initiatives in sepsis may reduce both morbidity and mortality. Positive outcomes are more likely when the following steps are optimized: early recognition, severity assessment, prehospital emergency medical system activation when available, early therapy (antimicrobials and hemodynamic optimization), early orientation to an adequate facility (emergency room, operating theater or intensive care unit), in-hospital organ failure resuscitation associated with source control, and finally a comprehensive rehabilitation program. Such a trajectory of care dedicated to sepsis amounts to a chain of survival and rehabilitation for sepsis. Implementation of this chain of survival and rehabilitation for sepsis requires full interconnection between each link. To date, despite regular international recommendations updates, the adherence to sepsis guidelines remains low leading to a considerable burden of the disease. Developing and optimizing such an integrated network could significantly reduce sepsis related mortality and morbidity.
- Subjects
MEDICAL care; MULTIPLE organ failure; EMERGENCY medicine; TREATMENT effectiveness; SEVERITY of illness index; RESUSCITATION; HOSPITAL emergency services; ANTI-infective agents; TRANSITIONAL care; SEPSIS; INTENSIVE care units; EARLY diagnosis; MEDICAL needs assessment; CRITICAL care medicine
- Publication
Annals of Intensive Care, 2024, Vol 14, Issue 1, p1
- ISSN
2110-5820
- Publication type
Article
- DOI
10.1186/s13613-024-01282-6