Evaluate the Outcomes of Patients with Sepsis and Find out the Mortality Rate

Dr. Ali Tariq Hussein, Dr. Raghad S. Ismail, Dr. Shadan Ahmed Falih Al-Tameemi
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Abstract

Background: Sepsis is a phenomenon caused by an infection that causes physiologic, pathologic, as well as biochemical problems. Objective: This paper aims to evaluate the outcomes of patients with sepsis and find out the mortality rate. Patients and methods: This paper was presented as a cross-sectional study where specialize to evaluate the outcomes of patients with sepsis and find out the mortality rate which get 100 cases in different hospitals in Iraq from 26th August to 18th 2022. This paper was analysed and evaluated of mortality rate with sepsis patients by SPSS program. The characteristics of demographic baseline outcomes were progressed with females and males for ages older than 25 and under than 70 years. Discussion: The interdisciplinary sepsis quality improvement project resulted in a considerable improvement in organizational sepsis mortality at the study hospital, with an observed sepsis mortality decrease of 8%. This resulted in a 37% decrease in sepsis O/E mortality. Patients having sepsis were considerably fewer likely to die following the intervention despite adjusting for patient variables and predicted mortality (OR = 0.64). Septic patients had an ICU stay that was 1.3 days shorter and an overall hospital stay that was 2.6 days shorter. With a baseline rate of death of 30% and an observed rate of mortality of 18.9%, the study team believes that the sepsis campaign saved 56 lives. There is significant evidence that sepsis teaching initiatives have a good impact. The study of complications was found to be fewer in comparisons with previous studies were, got 46 cases, and the risk factor of complications was got a higher percentage considered as death and gangrene, with 24 cases, where that result to blood loss during operative and reduce with blood pressure. Conclusion: The implementation of our study into the sepsis quality improvement program resulted in a decrease within the overall in-hospital sepsis death rate. Patients with sepsis during the treatment period had an approximate 35% decreased probability of dying. ICU days and total hospital LOS were also considerably reduced. Although 44 instances reduced projected direct consequences, the effect was not considered statistically significant.
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评估脓毒症患者的预后并了解死亡率
背景:脓毒症是一种由感染引起的生理、病理和生化问题的现象。目的:评价脓毒症患者的预后,了解脓毒症患者的死亡率。患者和方法:本文是一项横断面研究,专门评估了从2022年8月26日至18日在伊拉克不同医院的100例败血症患者的结局并找出死亡率。采用SPSS统计软件对脓毒症患者的死亡率进行分析和评价。在年龄大于25岁和小于70岁的人群中,女性和男性的人口统计学基线结果的特征有所进展。讨论:跨学科脓毒症质量改善项目使研究医院的组织脓毒症死亡率显著提高,观察到脓毒症死亡率下降了8%。这导致脓毒症O/E死亡率降低37%。尽管调整了患者变量和预测死亡率,但脓毒症患者在干预后死亡的可能性大大降低(OR = 0.64)。脓毒症患者在ICU的住院时间缩短了1.3天,总住院时间缩短了2.6天。基线死亡率为30%,观察到的死亡率为18.9%,研究小组认为败血症运动挽救了56人的生命。有显著的证据表明,脓毒症教学的主动性有良好的影响。与以往的研究相比,并发症的研究较少,有46例,并发症的危险因素死亡和坏疽的比例更高,有24例,导致术中失血和血压下降。结论:我们在脓毒症质量改进项目中实施的研究导致了院内脓毒症总体死亡率的下降。在治疗期间脓毒症患者的死亡概率大约降低了35%。ICU天数和总住院时间也显著减少。虽然44例减少了预期的直接后果,但这种影响在统计上并不显著。
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