Sepsis: assessment of healthcare quality in an urgency and emergency unit
Abstract
Introduction: Sepsis is a serious condition caused by unregulated immune response to an infection and is considered one of the leading causes of death worldwide. Objective: To assess the quality of care provided to septic patients in the emergency unit of a university hospital, according to the guidelines provided by the Surviving Sepsis Campaign. Methods: Longitudinal study conducted with septic patients in an emergency unit. Data were collected from sepsis notifications and medical records. The statistical analysis was performed by measures of central tendency and binary logistic regression. Results: We assessed 139 patients from the Surviving Sepsis Campaign perspective. The adequacy of the behaviors related to the performance of exams reached 64.2% for lactate, and 55.3% for blood cultures. In the first hour, 49.6% of the patients had received antimicrobial therapy. There was no compliance with the treatment for hypotension and hyperlactatemia in 69.8% of cases. Mortality reached 61.2% of the cases, and the associated risk factors were: multiple organ dysfunctions; high APACHE II and SOFA scores; hyperlactatemia; and mechanical ventilation. Conclusion: Care provided to patients with sepsis in the emergency unit followed most Surviving Sepsis Campaign guidelines; however, it is possible to increase compliance with the recommendations, thus resulting in better prognoses.
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References
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