Surviving Sepsis Campaign Bundles Adherence and Their Limits in Surgical Patients with Septic Shock in an ICU.

Simple item page
dc.contributor.authorWeiss, Manfred
dc.contributor.authorLautenschlager, Florian
dc.contributor.authorPorzsolt, Franz
dc.date.accessioned2015-08-31T08:59:53Z
dc.date.available2015-08-31T08:59:53Z
dc.date.issued2013-01
dc.description.abstractAims: The Surviving Sepsis Campaign (SSC) guidelines aimed to reduce heterogeneity of conventional therapy and mortality. The present study was performed in septic shock to describe the adherence to the 2008 SSC guidelines, confounding factors, and limitations. Study Design: Prospective observational study. Place and Duration of Study: Clinic of Anaesthesiology, University Hospital Medical School, and Clinical Economics at the Institute of History, Philosophy and Ethics in Medicine, University of Ulm, between January 2008 and June 2009. Methodology: The adherence to 36 items of the 6-hour and 24-hour bundles of the 2008 SSC guidelines was investigated in 98 surgical patients with septic shock. Results: The adherence to the 36 items varied between 0% and 95%. Besides the categories “adherent“ and “nonadherent“, additional categories “partially adherent“, “notapplicable“ and “unknown“ were used. None of the single items alone was essential for survival. Patients with septic shock on admission (n=68) had significantly higher SOFA scores (degree of organ dysfunctions) compared to patients developing septic shock in the ICU (n = 30). Conclusion: As many confounders are limiting the adherence to complex guidelines, the complete adherence will hardly be possible in severe diseases such as septic shock. Our results suggest that efforts associated with early diagnosis and active encouragement outside the ICU are necessary to improve applicability and adherence to the SSC guidelines in patients with septic shock in order to reduce the time lag of diagnosis and treatment, which may be reached by focusing on few essential points.en_US
dc.identifier.citationWeiss Manfred, Lautenschlager Florian, Porzsolt Franz. Surviving Sepsis Campaign Bundles Adherence and Their Limits in Surgical Patients with Septic Shock in an ICU. British Journal of Medicine and Medical Research. 2013 Jan-Mar; 3(1): 94-107.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/162790
dc.language.isoenen_US
dc.source.urihttps://sciencedomain.org/abstract/758en_US
dc.subjectCritical illnessen_US
dc.subjectintensive care unitsen_US
dc.subjectguideline adherenceen_US
dc.subjectsepsis bundlesen_US
dc.subjectshock septic/mortality/therapyen_US
dc.titleSurviving Sepsis Campaign Bundles Adherence and Their Limits in Surgical Patients with Septic Shock in an ICU.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
bjmmr2013v3n1p94.pdf
Size:
444.6 KB
Format:
Adobe Portable Document Format
Description:
Original research article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal of Advances in Medicine and Medical Research