KHẢO SÁT TÌNH TRẠNG RUNG NHĨ MỚI KHỞI PHÁT VÀ MỐI LIÊN QUAN VỚI KẾT QUẢ ĐIỀU TRỊ Ở BỆNH NHÂN SỐC NHIỄM KHUẨN

Abstract

Objectives: To evaluate the new-onset atrial fibrillation in the first 3 days after diagnosis of septic shock and its association with treatment outcomes in septic shock patients. Materials and method: Prospective Descriptive Study on 54 septic shock patients treated in the Medical Intensive Care Department - Center of Emergency, Intensive Care Medicine and Clinical Toxicology - 103 Military Hospital - Vietnam Military Medical University. Results: Septic shock patients with new-onset atrial fibrillation accounted for 53.7%. In the first 3 days, the group with new-onset atrial fibrillation had a mortality rate of 41.4%, which was statistically significantly higher than the group without new-onset atrial fibrillation (8%) with OR=8.12 (95% CI: 1.60-41.14, p<0.01). Similarly, in the first 7 days, the group with new-onset atrial fibrillation had a mortality rate of 62.1%, which was statistically significantly higher than the group without atrial fibrillation (24%) with OR=5.18 (95% CI: 1.58-16.95, p<0.01). However, there was no difference between the mortality rate within 28 days in the groups with and without new-onset atrial fibrillation (p>0.05). Conclusion: New-onset atrial fibrillation was a common arrhythmia in septic shock patients. The group with new-onset atrial fibrillation had a higher risk of death than the group without atrial fibrillation in the first 3 and 7 days after diagnosis.