Sepsis in patients with vs. without mental illness: a comparison of demographic, insurance, comorbidity, and infection source characteristics

Yi-Ru Chen, Melva Morales Sierra, Jaime Jacob, Lisa Iyeke, Lindsay Jordan, Khatija Paperwalla, Mark Richman
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Abstract

Background Adherence to the Surviving Sepsis Campaign’s 3- and 6-hour bundles (blood cultures/serum lactate/antibiotics/IV fluids/vasopressors) improves mortality. Septic patients with mental health illness may not receive optimal care, being unable to explain symptoms, understand/accept their condition/care, or remain calm. We compare characteristics of ED septic patients with vs without mental health illnesses in their demographics, insurance, housing status, comorbidities, and infected organs, part of a larger, retrospective study seeking to compare such patients’ sepsis care quality (bundle adherence, length-of-stay (LOS)).
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患有与未患有精神疾病的败血症患者:人口统计学、保险、合并症和感染源特征的比较
背景 坚持 "脓毒症生存运动 "的 3 小时和 6 小时束(血液培养/血清乳酸/抗生素/静脉输液/血管加压)可提高死亡率。患有精神疾病的败血症患者可能无法获得最佳护理,因为他们无法解释症状、理解/接受自己的病情/护理或保持冷静。我们比较了患有与未患有精神疾病的急诊科脓毒症患者在人口统计学、保险、住房状况、合并症和感染器官方面的特征,这是一项大型回顾性研究的一部分,旨在比较此类患者的脓毒症护理质量(捆绑护理坚持度、住院时间(LOS))。
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