Epidemiology and Microbiology of Sepsis Syndromes in a University-Affiliated Urban Teaching Hospital and Level-1 Trauma and Burn Center

Purpose: To use the 2010 to 2011 data collected by structured chart review to provide a detailed up-to-date description of the epidemiology and microbiology of the sepsis syndromes. Methods: Prospective observational study conducted at a university-affiliated urban teaching hospital and level-1 trau...

Full description

Saved in:
Bibliographic Details
Published in:Journal of intensive care medicine 2017-05, Vol.32 (4), p.264-272
Main Authors: Tulloch, Luis G., Chan, Jeannie D., Carlbom, David J., Kelly, Mary Jo, Dellit, Timothy H., Lynch, John B.
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - therapeutic use
Burn Units
Female
Hospital Mortality
Hospitals, Teaching
Humans
Intensive Care Units
Length of Stay - statistics & numerical data
Male
Middle Aged
Prospective Studies
Sepsis - microbiology
Sepsis - mortality
Sepsis - therapy
Severity of Illness Index
Syndrome
Trauma Centers
Washington - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose: To use the 2010 to 2011 data collected by structured chart review to provide a detailed up-to-date description of the epidemiology and microbiology of the sepsis syndromes. Methods: Prospective observational study conducted at a university-affiliated urban teaching hospital and level-1 trauma and burn center. All adult patients who triggered a Code Sepsis in the emergency department (ED) between January 2010 and December 2011 were included. Results: One hundred eighty four patients presented with a verified sepsis syndrome and triggered a Code Sepsis in the ED during the studied time period. The mean hospital and intensive care unit length of stays (LOSs) were 15.4 (interquartile range [IQR] = 14) and 6.7 (IQR = 5) days, respectively. The total inpatient mortality was 19% (n = 35). Patients with an unspecified source of infection and those without an isolated pathogen had the highest inpatient mortality, 42.1% (n = 8) and 23.3% (n = 10), respectively. Conclusion: Hospital mortality and hospital LOS of sepsis are similar to those reported in other observational studies. Our study confirms a decline in the mortality of sepsis predicted by earlier longitudinal studies and should prompt a resurgence of epidemiological research of the sepsis syndromes in the United States.
ISSN:0885-0666
1525-1489
DOI:10.1177/0885066615592851