Surviving sepsis campaign in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/30230 http://dx.doi.org/10.1097/SHK.0b013e318181a128 |
Resumo: | Severe sepsis and septic shock have long been a challenge in intensive care because of their common occurrence, high associated costs of care, and significant mortality. the Surviving Sepsis Campaign (SSC) was developed in an attempt to address clinical inertia in the adoption of evidence-based strategies. the campaign relies on worldwide support from professional societies and has gained consensus on the management of patients with severe sepsis. the guidelines have subsequently been deployed into two bundles, with each bundle component sharing a common relationship in time. the widespread adoption of such evidence-based practice in clinical care has been disappointingly slow despite the quantifiable benefits regarding mortality. in Brazil, a country of continental dimensions with a heterogeneous population and unequal access to health services, this reality is no different. From 2004 to 2007, four prospective studies were published describing the country's reality. in the multicenter Promoting Global Research Excellence in Severe Sepsis (PROGRESS) Study, the in-hospital mortality rate was higher in Brazil when compared with other countries: 56% against 30% in developed countries and 45% in other developing countries. During these 2.5 years of the campaign in Brazil, 43 hospitals have been receiving the necessary training to put in practice the recommended measures in all Brazilian regions, except for the North. the idea of the campaign is based on a 25% reduction in the relative risk of death from severe sepsis and septic shock within 5 years in the SSC-participating Brazilian hospitals. Ideally, the mortality rate should come to a 41.2% level subject to the 2009 deadline. This article aims to describe the actual scenario of the SSC implementation in Brazilian institutions and to report on some initiatives that have been used to overcome barriers. |
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Meira Teles, Jose MarioSilva, EliezerWestphal, GlaucoCosta Filho, RubensMachado, Flavia Ribeiro [UNIFESP]Hosp PortuguesUniversidade de São Paulo (USP)Hosp Municipal Sao JoseHosp ProcardiacoUniversidade Federal de São Paulo (UNIFESP)2016-01-24T13:49:18Z2016-01-24T13:49:18Z2008-01-01Shock. Philadelphia: Lippincott Williams & Wilkins, v. 30, p. 47-52, 2008.1073-2322http://repositorio.unifesp.br/handle/11600/30230http://dx.doi.org/10.1097/SHK.0b013e318181a12810.1097/SHK.0b013e318181a128WOS:000259420600010Severe sepsis and septic shock have long been a challenge in intensive care because of their common occurrence, high associated costs of care, and significant mortality. the Surviving Sepsis Campaign (SSC) was developed in an attempt to address clinical inertia in the adoption of evidence-based strategies. the campaign relies on worldwide support from professional societies and has gained consensus on the management of patients with severe sepsis. the guidelines have subsequently been deployed into two bundles, with each bundle component sharing a common relationship in time. the widespread adoption of such evidence-based practice in clinical care has been disappointingly slow despite the quantifiable benefits regarding mortality. in Brazil, a country of continental dimensions with a heterogeneous population and unequal access to health services, this reality is no different. From 2004 to 2007, four prospective studies were published describing the country's reality. in the multicenter Promoting Global Research Excellence in Severe Sepsis (PROGRESS) Study, the in-hospital mortality rate was higher in Brazil when compared with other countries: 56% against 30% in developed countries and 45% in other developing countries. During these 2.5 years of the campaign in Brazil, 43 hospitals have been receiving the necessary training to put in practice the recommended measures in all Brazilian regions, except for the North. the idea of the campaign is based on a 25% reduction in the relative risk of death from severe sepsis and septic shock within 5 years in the SSC-participating Brazilian hospitals. Ideally, the mortality rate should come to a 41.2% level subject to the 2009 deadline. This article aims to describe the actual scenario of the SSC implementation in Brazilian institutions and to report on some initiatives that have been used to overcome barriers.Hosp Portugues, Dept Intens Care Unit, Salvador, BA, BrazilUniv São Paulo, Latin Amer Sepsis Inst, São Paulo, BrazilUniv São Paulo, Hosp Israelita Brasileira Albert Einstein, Intens Care Unit, São Paulo, BrazilHosp Municipal Sao Jose, Hosp Unimed, Intens Care Unit, Joinville, SC, BrazilHosp Procardiaco, Intens Care Unit, Rio de Janeiro, BrazilUniversidade Federal de São Paulo, Anesthesiol Pain & Intens Care Dept, São Paulo, BrazilUniversidade Federal de São Paulo, Anesthesiol Pain & Intens Care Dept, São Paulo, BrazilWeb of Science47-52engLippincott Williams & WilkinsShocksepsisseptic shockbundlestreatmentguidelinesSurviving sepsis campaign in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/302302022-09-27 09:48:29.364metadata only accessoai:repositorio.unifesp.br:11600/30230Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:23:18.407586Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Surviving sepsis campaign in Brazil |
title |
Surviving sepsis campaign in Brazil |
spellingShingle |
Surviving sepsis campaign in Brazil Meira Teles, Jose Mario sepsis septic shock bundles treatment guidelines |
title_short |
Surviving sepsis campaign in Brazil |
title_full |
Surviving sepsis campaign in Brazil |
title_fullStr |
Surviving sepsis campaign in Brazil |
title_full_unstemmed |
Surviving sepsis campaign in Brazil |
title_sort |
Surviving sepsis campaign in Brazil |
author |
Meira Teles, Jose Mario |
author_facet |
Meira Teles, Jose Mario Silva, Eliezer Westphal, Glauco Costa Filho, Rubens Machado, Flavia Ribeiro [UNIFESP] |
author_role |
author |
author2 |
Silva, Eliezer Westphal, Glauco Costa Filho, Rubens Machado, Flavia Ribeiro [UNIFESP] |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Hosp Portugues Universidade de São Paulo (USP) Hosp Municipal Sao Jose Hosp Procardiaco Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Meira Teles, Jose Mario Silva, Eliezer Westphal, Glauco Costa Filho, Rubens Machado, Flavia Ribeiro [UNIFESP] |
dc.subject.eng.fl_str_mv |
sepsis septic shock bundles treatment guidelines |
topic |
sepsis septic shock bundles treatment guidelines |
description |
Severe sepsis and septic shock have long been a challenge in intensive care because of their common occurrence, high associated costs of care, and significant mortality. the Surviving Sepsis Campaign (SSC) was developed in an attempt to address clinical inertia in the adoption of evidence-based strategies. the campaign relies on worldwide support from professional societies and has gained consensus on the management of patients with severe sepsis. the guidelines have subsequently been deployed into two bundles, with each bundle component sharing a common relationship in time. the widespread adoption of such evidence-based practice in clinical care has been disappointingly slow despite the quantifiable benefits regarding mortality. in Brazil, a country of continental dimensions with a heterogeneous population and unequal access to health services, this reality is no different. From 2004 to 2007, four prospective studies were published describing the country's reality. in the multicenter Promoting Global Research Excellence in Severe Sepsis (PROGRESS) Study, the in-hospital mortality rate was higher in Brazil when compared with other countries: 56% against 30% in developed countries and 45% in other developing countries. During these 2.5 years of the campaign in Brazil, 43 hospitals have been receiving the necessary training to put in practice the recommended measures in all Brazilian regions, except for the North. the idea of the campaign is based on a 25% reduction in the relative risk of death from severe sepsis and septic shock within 5 years in the SSC-participating Brazilian hospitals. Ideally, the mortality rate should come to a 41.2% level subject to the 2009 deadline. This article aims to describe the actual scenario of the SSC implementation in Brazilian institutions and to report on some initiatives that have been used to overcome barriers. |
publishDate |
2008 |
dc.date.issued.fl_str_mv |
2008-01-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T13:49:18Z |
dc.date.available.fl_str_mv |
2016-01-24T13:49:18Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Shock. Philadelphia: Lippincott Williams & Wilkins, v. 30, p. 47-52, 2008. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/30230 http://dx.doi.org/10.1097/SHK.0b013e318181a128 |
dc.identifier.issn.none.fl_str_mv |
1073-2322 |
dc.identifier.doi.none.fl_str_mv |
10.1097/SHK.0b013e318181a128 |
dc.identifier.wos.none.fl_str_mv |
WOS:000259420600010 |
identifier_str_mv |
Shock. Philadelphia: Lippincott Williams & Wilkins, v. 30, p. 47-52, 2008. 1073-2322 10.1097/SHK.0b013e318181a128 WOS:000259420600010 |
url |
http://repositorio.unifesp.br/handle/11600/30230 http://dx.doi.org/10.1097/SHK.0b013e318181a128 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Shock |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
47-52 |
dc.publisher.none.fl_str_mv |
Lippincott Williams & Wilkins |
publisher.none.fl_str_mv |
Lippincott Williams & Wilkins |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
|
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1783460284603564032 |