Mortality of patients with sepsis in intensive care units at tertiary hospitals in Jordan: Prospective cohort study

被引:0
作者
Al Omar, Saleh [1 ]
Alshraideh, Jafar Alasad [2 ]
Oweidat, Islam [3 ]
Al Qadire, Mohammad [4 ,5 ]
Khalaf, Atika [6 ,7 ]
Abu Sumaqa, Yasmeen [1 ]
Al-Mugheed, Khalid [8 ]
Saeed Alabdullah, Amany Anwar [9 ]
Farghaly Abdelaliem, Sally Mohammed [10 ]
机构
[1] Al Balqa Appl Univ, Fac Nursing, POB 206, Salt 19117, Jordan
[2] Jordan Univ Hosp, Gen Surg, Amman, Jordan
[3] Zarqa Univ, Fac Nursing, Community & Mental Hlth Nursing Dept, Zarqa, Jordan
[4] Sultan Qaboos Univ, Coll Nursing, Muscat, Oman
[5] Al Al Bayt Univ, Fac Nursing, Mafraq, Jordan
[6] Kristianstad Univ, Fac Hlth Sci, PRO CARE Grp, Kristianstad, Sweden
[7] Fatima Coll Hlth Sci, Dept Nursing, Ajman, U Arab Emirates
[8] Riyadh Elm Univ, Coll Nursing, Riyadh, Saudi Arabia
[9] Princess Nourah Bint Abdulrahman Univ, Coll Nursing, Dept Matern & Pediat Nursing, Riyadh, Saudi Arabia
[10] Princess Nourah Bint Abdulrahman Univ, Coll Nursing, Dept Nursing Management & Educ, Riyadh, Saudi Arabia
关键词
intensive care; mortality; predictors; sepsis; septic shock; 30-DAY MORTALITY; CANCER; PREVALENCE;
D O I
10.1097/MD.0000000000040169
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was to describe the 30-day mortality rate of adult patients with sepsis and septic shock in 6 intensive care units of 2 tertiary hospitals in Jordan. A prospective cohort design was used. Patients with sepsis and septic shock admitted to the medical and surgical intensive care units at 2 tertiary hospitals were followed up during the period between February 2022 and June 2022 (N = 148). Data were analyzed using SPSS, version 23. Moreover, descriptive statistics, chi-square, and binary logistic regression were used. Notably, 52.7% of patients with sepsis and septic shock died within 30 days of diagnosis of sepsis and septic shock. Sequential Organ Failure Assessment score and the history of having solid tumors significantly predicted the 30-day mortality rate. Moreover, 43 (29.0%) patients with sepsis and septic shock had positive blood cultures, and 46 (31.0%) had positive urine cultures. Patients with sepsis and septic shock have a notable mortality rate that can be predicted from total Sequential Organ Failure Assessment scores and from the history of having solid tumors. Early assessment and initiation of treatment for sepsis essentially would reduce the likelihood of progression of sepsis to septic shock and would reduce associated patients' mortality.
引用
收藏
页数:7
相关论文
共 34 条
[1]  
Abdel Mawla MA., 2021, Bull Natl Res Cent, V45, P1
[2]   Are patients with cancer with sepsis and bacteraemia at a higher risk of mortality? A retrospective chart review of patients presenting to a tertiary care centre in Lebanon [J].
Abou Dagher, Gilbert ;
El Khuri, Christopher ;
Chehadeh, Ahel Al-Hajj ;
Chami, Ali ;
Bachir, Rana ;
Zebian, Dina ;
Chebl, Ralphe Bou .
BMJ OPEN, 2017, 7 (03)
[3]   Characteristics of Adult Sepsis Patients in the Intensive Care Units in a Tertiary Hospital in Jordan: An Observational Study [J].
Abu-Humaidan, Anas H. A. ;
Ahmad, Fatima M. ;
Al-Binni, Maysaa' A. ;
Bani Hani, Amjad ;
Abu Abeeleh, Mahmoud .
CRITICAL CARE RESEARCH AND PRACTICE, 2021, 2021
[4]   The appropriateness of 30-day mortality as a quality metric in colorectal cancer surgery [J].
Adam, Mohamed Abdelgadir ;
Turner, Megan C. ;
Sun, Zhifei ;
Kim, Jina ;
Ezekian, Brian ;
Migaly, John ;
Mantyh, Christopher R. .
AMERICAN JOURNAL OF SURGERY, 2018, 215 (01) :66-70
[5]   Determination of Factors Affecting Mortality of Patients with Sepsis in a Tertiary Intensive Care Unit [J].
Balcan, Baran ;
Olgun, Sehnaz ;
Torlak, Fatih ;
Sagmen, Seda Beyhan ;
Eryuksel, Emel ;
Karakurt, Sait .
TURKISH THORACIC JOURNAL, 2015, 16 (03) :128-132
[6]   Epidemiology of sepsis in intensive care units in Turkey: a multicenter, point-prevalence study [J].
Baykara, Nur ;
Akalin, Halis ;
Arslantas, Mustafa Kemal ;
Hanci, Volkan ;
Caglayan, Cigdem ;
Kahveci, Ferda ;
Demirag, Kubilay ;
Baydemir, Canan ;
Unal, Necmettin .
CRITICAL CARE, 2018, 22
[7]   Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 [J].
Berrios, Sandra I. ;
Umscheid, Craig A. ;
Bratzler, Dale W. ;
Leas, Brian ;
Stone, Erin C. ;
Kelz, Rachel R. ;
Reinke, Caroline E. ;
Morgan, Sherry ;
Solomkin, Joseph S. ;
Mazuski, John E. ;
Dellinger, E. Patchen ;
Itani, Kamal M. F. ;
Berbari, Elie F. ;
Segreti, John ;
Parvizi, Javad ;
Blanchard, Joan ;
Allen, George ;
Kluytmans, Jan A. J. W. ;
Donlan, Rodney ;
Schecter, William P. .
JAMA SURGERY, 2017, 152 (08) :784-791
[8]  
Bleakley Greg, 2020, Br J Nurs, V29, P1248, DOI 10.12968/bjon.2020.29.21.1248
[9]   A NEW METHOD OF CLASSIFYING PROGNOSTIC CO-MORBIDITY IN LONGITUDINAL-STUDIES - DEVELOPMENT AND VALIDATION [J].
CHARLSON, ME ;
POMPEI, P ;
ALES, KL ;
MACKENZIE, CR .
JOURNAL OF CHRONIC DISEASES, 1987, 40 (05) :373-383
[10]   Improvements in Sepsis-associated Mortality in Hospitalized Patients with Cancer versus Those without Cancer A 12-Year Analysis Using Clinical Data [J].
Cooper, Alissa J. ;
Keller, Steven P. ;
Chan, Christina ;
Glotzbecker, Brett E. ;
Klompas, Michael ;
Baron, Rebecca M. ;
Rhee, Chanu .
ANNALS OF THE AMERICAN THORACIC SOCIETY, 2020, 17 (04) :466-473