麦德林市一家高度复杂医院的感染或败血症早期表现与预后之间的关系。

J.A. Albarracin Duarte , J. Chaparro Hernández , J.A. Rojas Aceros , J.E. Valoyes Gélvez , J. Ascuntar , F. Jaimes
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引用次数: 0

摘要

目的 确定疑似感染或败血症患者的首发症状和体征及其与重症监护病房(ICU)入院或死亡的综合结果之间的关系.设计 2019年6月至2020年3月期间的前瞻性队列研究.地点 哥伦比亚圣维森特基金大学医院.患者年龄在18岁以上,怀疑或确认患有败血症,需要住院治疗。干预措施无。主要关注变量与感染相关的症状和体征,以及研究中规定的演变时间。结论心率、呼吸频率和毛细血管再充盈时间可能是脓毒症患者入住 ICU 和死亡的早期预测因素。
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Association between early manifestations of infection or sepsis and prognosis in a high complexity hospital in the city of Medellín

Objective

To identify the first symptoms and signs of patients with suspected infection or sepsis and their association with the composite outcome of admission to the Intensive Care Unit (ICU) or mortality.

Design

Prospective cohort study between June 2019 and March 2020.

Setting

Hospital Universitario San Vicente Fundación, Colombia.

Patients

Over 18 years of age with suspicion or confirmation of sepsis, which required hospitalization.

Interventions

None.

Main variables of interest

Symptoms and signs associated with infection, with their time of evolution, specified in the study.

Results

From 1005 eligible patients, 261 were included. After multivariable adjustment with a logistic regression model, the main factors for ICU admission or mortality were heart rate (OR 1.04 with 95% CI 1.04–3.7), respiratory rate (OR 1.19 with 95% CI 1.0−1.4) and capillary refill time (OR 3.4 with 95% CI 1.9−6.1).

Conclusions

Heart rate, respiratory rate, and capillary refill may behave as early predictors of ICU admission and mortality in cases of sepsis.

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