Association of demographic, clinical and therapeutic management factors with the outcome of septic patients treated in a hospital emergency

• Autor(a) principal: Duarte, Rayssa Thompson
• Data de Publicação: 2019
• Outros Autores: Oliveira, Ana Paula Amestoy de, Moretti, Miriane Melo Silveira, Urbanetto, Janete de Souza
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista de Enfermagem da Universidade Federal de Santa Maria
• Texto Completo: http://periodicos.ufsm.br/reufsm/article/view/34413
• topic: Sepsis; Emergency Service; Hospital; Health Profile; Nursing; Sepsis; Servicio de Urgencia em Hospital; Perfil de salud; Enfermería; Sepse; Serviço Hospitalar de emergência; Perfil de saúde; Protocolo de Sepse

Aim: To identify the association of demographic, clinical and therapeutic management aspects with the outcome of patients diagnosed with sepsis in a hospital emergency. Method: retrospective documentary, 312 records of septic patients, descriptive analysis, comparisons of categorical data were used using Chi-square or Fisher's exact tests, with Monte Carlo correction. Results: mean age 65 (± 17.66) years, 51.3% were women, 52.6% hypertensive, 28.5% diabetic, 27.2% heart disease, 74% diagnosed with sepsis 52.3% infectious pulmonary focus. There is an association between demographic variables and outcomes (p <0.05). History of stroke, cirrhosis, heart disease, and septic shock are associated with death (p <0.05). Warning signs and organ dysfunction evaluated are associated with the outcome. Infectious focus (p = 1) and tachycardia (p = 0.823) has no association with outcome or severity of sepsis (p = 0.120). Conclusion: there is an association between patient demographic profile, comorbidities, organ dysfunction and therapeutic management, with sepsis severity and outcome.