Summary
Patients with sepsis admitted to the intensive care unit from different hospital departments: influence on prognosis
Estella A, Recuerda M, E. Moreno, Pérez Fontaiña L
Affiliation of the authors
Servicio de Urgencias, Hospital del SAS de Jerez, Jerez de la Frontera, Cádiz, Spain.
DOI
Quote
Estella A, Recuerda M, E. Moreno, Pérez Fontaiña L. Patients with sepsis admitted to the intensive care unit from different hospital departments: influence on prognosis. Emergencias. 2014;26:296-9
Summary
Objective: To compare prognosis in patients admitted to the intensive care unit (ICU)
with sepsis according to source (a hospital ward or the emergency department).
Methods: Patients admitted to the ICU for sepsis were enrolled consecutively for 5 years.
Variables recorded included age, sex, length of ICU stay, focus of infection, lactic acid
levels, APACHE II score, and mortality. The patients were classified according to whether
they were admitted from the emergency department or a hospital ward.
Results: A total of 511 patients were studied; 330 patients were admitted from the
emergency department and the others came from a ward. No differences in age or
APACHE II score on ICU arrival were found between ward-admitted and emergencyadmitted
patients. Mortality was significantly lower in patients from the emergency
department (29.4%) than in patients from wards (50%).
Conclusions: Mortality is higher in ICU patients with sepsis admitted from hospital
wards is higher than in patients from the emergency department.