Epidemiology of sepsis in ICUs of Western China

Objectives: To investigate the relationship between sepsis prevalence and disease types in intensive care units (ICUs), as well as the effect of knowledge of the health care workers about the sepsis guidelines on sepsis morbidity and mortality. Methods: A one-day cross-sectional survey was conducted...

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Main Authors: Hao Tang, Dong Liu, Hua-Yu Zhang, Shi-Jin Sun, Xiu-Zhu Zhang, Dong-Po Jiang, Lian-Yang Zhang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-05-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2221618916300208
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author Hao Tang
Dong Liu
Hua-Yu Zhang
Shi-Jin Sun
Xiu-Zhu Zhang
Dong-Po Jiang
Lian-Yang Zhang
author_facet Hao Tang
Dong Liu
Hua-Yu Zhang
Shi-Jin Sun
Xiu-Zhu Zhang
Dong-Po Jiang
Lian-Yang Zhang
author_sort Hao Tang
collection DOAJ
description Objectives: To investigate the relationship between sepsis prevalence and disease types in intensive care units (ICUs), as well as the effect of knowledge of the health care workers about the sepsis guidelines on sepsis morbidity and mortality. Methods: A one-day cross-sectional survey was conducted in five ICUs in the cities of Chongqing and Guizhou, China. The included patients were divided into three groups: the internal medicine group (Group A), surgery group (Group B), and trauma group (Group C). Sepsis was diagnosed by the 2012 Sepsis Guidelines, and the prevalence and 28-day mortality were statistically analyzed. The relationship between the knowledge of health care workers about sepsis and morbidity and mortality was analyzed. Results: Among the enrolled 71 patients, the sepsis prevalence rate was 81.5%, 66.7%, and 87.0% in Groups A, B, and C, respectively. In total, the 28-day mortality rate was 36.4%, 42.9% and 20.0% in Groups A, B, and C, respectively, indicating no significant difference. The sepsis prevalence was 66.7%, 90.0%, 90.9%, 100.0% and 76.9% in the five ICUs. The average cognitive score of each hospital was 68.5 ± 15.4, 65.7 ± 16.7, 69.0 ± 23.3, 25.0 ± 8.4, and 61.4 ± 19.9 points in the five ICUs. Cognitive scores were not associated with prevalence of sepsis, but they were negatively related with sepsis mortality. Conclusions: Sepsis prevalence and mortality are not associated with diseases types within ICUs, but the knowledge of sepsis of health care workers is associated with the prognosis of sepsis patients.
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spelling doaj.art-33fa5c2cb58545538e262a069b1d8fe22022-12-21T17:32:26ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892016-05-015321021510.1016/j.joad.2016.03.007Epidemiology of sepsis in ICUs of Western ChinaHao TangDong LiuHua-Yu ZhangShi-Jin SunXiu-Zhu ZhangDong-Po JiangLian-Yang ZhangObjectives: To investigate the relationship between sepsis prevalence and disease types in intensive care units (ICUs), as well as the effect of knowledge of the health care workers about the sepsis guidelines on sepsis morbidity and mortality. Methods: A one-day cross-sectional survey was conducted in five ICUs in the cities of Chongqing and Guizhou, China. The included patients were divided into three groups: the internal medicine group (Group A), surgery group (Group B), and trauma group (Group C). Sepsis was diagnosed by the 2012 Sepsis Guidelines, and the prevalence and 28-day mortality were statistically analyzed. The relationship between the knowledge of health care workers about sepsis and morbidity and mortality was analyzed. Results: Among the enrolled 71 patients, the sepsis prevalence rate was 81.5%, 66.7%, and 87.0% in Groups A, B, and C, respectively. In total, the 28-day mortality rate was 36.4%, 42.9% and 20.0% in Groups A, B, and C, respectively, indicating no significant difference. The sepsis prevalence was 66.7%, 90.0%, 90.9%, 100.0% and 76.9% in the five ICUs. The average cognitive score of each hospital was 68.5 ± 15.4, 65.7 ± 16.7, 69.0 ± 23.3, 25.0 ± 8.4, and 61.4 ± 19.9 points in the five ICUs. Cognitive scores were not associated with prevalence of sepsis, but they were negatively related with sepsis mortality. Conclusions: Sepsis prevalence and mortality are not associated with diseases types within ICUs, but the knowledge of sepsis of health care workers is associated with the prognosis of sepsis patients.http://www.sciencedirect.com/science/article/pii/S2221618916300208SepsisEpidemiologyIntensive careDisease typesKnowledgeGuidelines
spellingShingle Hao Tang
Dong Liu
Hua-Yu Zhang
Shi-Jin Sun
Xiu-Zhu Zhang
Dong-Po Jiang
Lian-Yang Zhang
Epidemiology of sepsis in ICUs of Western China
Journal of Acute Disease
Sepsis
Epidemiology
Intensive care
Disease types
Knowledge
Guidelines
title Epidemiology of sepsis in ICUs of Western China
title_full Epidemiology of sepsis in ICUs of Western China
title_fullStr Epidemiology of sepsis in ICUs of Western China
title_full_unstemmed Epidemiology of sepsis in ICUs of Western China
title_short Epidemiology of sepsis in ICUs of Western China
title_sort epidemiology of sepsis in icus of western china
topic Sepsis
Epidemiology
Intensive care
Disease types
Knowledge
Guidelines
url http://www.sciencedirect.com/science/article/pii/S2221618916300208
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