Epidemiological and clinical profile of patients with suspected sepsis and septic shock in a hospital emergency
DOI:
https://doi.org/10.5935/1415.2762.20210063Keywords:
Nursing, Emergency Service, Hospital, Shock, Septic, Patient CareAbstract
Objective: to analyze clinical and demographic characteristics and compliance with the ‘Surviving
Sepsis Campaign’ in suspected or confirmed cases of sepsis and septic shock recorded in medical records
of a hospital emergency. Method: quantitative, descriptive study. The sample consisted of 127 medical
records of adult patients admitted to a hospital emergency from June to October 2019. For data
analysis, frequencies, mean, standard deviation, chi-square test and Kruskal-Wallis test were used.
Results: the cases of sepsis and septic shock had the pulmonary as their main focus. The predominant
clinical diagnosis was infection with organ dysfunction. The predominant clinical outcome was
hospital discharge. The performance of measures recommended by the Sepsis Survival Campaign in
the first hour after the suspected diagnosis - collection of lactate, administration of antibiotics and
collection of blood cultures - was recorded in 10 (7.9%) medical records. Conclusion: knowledge of the
epidemiological characteristics of suspected or confirmed cases of sepsis and septic shock showed that
the clinical practice of the professionals involved was not in accordance with the conduct recommended
by the Surviving Sepsis Campaign.
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