THE PREVALENCE OF SEPSIS AND SEPTIC SHOCK: TREATMENT OUTCOMES AMONG ICU PATIENTS AT A TERTIARY HOSPITAL IN PALESTINE
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Date
2022-03-09
Authors
Odeh, Huda
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Publisher
جامعة النجاح الوطنية
Abstract
Background: Sepsis is a common health condition among patients admitted to the intensive care unit. Little is known on the prevalence of sepsis and septic shock and their health outcomes in the Palestinian hospitals.
Objectives: This study was conducted to describe retrospectively within the last two years the prevalence rate, mortality, and length of stay of adult patients with sepsis and septic shock in adult intensive care unit at Makassed Hospital in Palestine.
Methods: A correlational descriptive design was used in the current study. The study was conducted at Makassed Hospital in Palestine which provide a wide range of healthcare services. The data collection tools included sociodemographic details, Sepsis-3 to screen for sepsis and septic shock, Sequential Organ Failure Assessment scores, and Charlson Comorbidity Index.
Results: A total of 1101 patients were included in this analysis. The prevalence of sepsis and septic shock among the intensive care unit patients was 13.6%. Sequential Organ Failure Assessment scores were significantly higher for patients with septic shock compared to those with sepsis and those without sepsis. The mortality rate among the intensive care unit patients was 12%. Binary logistic regression and areas under receiver operating curves discrimination showed that Sequential Organ Failure Assessment score, Charlson Comorbidity Index, and length of stay in the intensive care unit were significant predictors of mortality.
Conclusions: Findings of this study showed that sepsis and septic shock are common life-threatening health conditions among patients admitted to intensive care unit in Palestine. Mortality rates were significantly higher when intensive care unit patients develop sepsis and septic shock.
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Keywords
Sepsis, Septic shock, Prevalence, Intensive care unit, Hospitals, Mortality