THE FEATURES OF CLINICAL AND SUBCLINICAL AND MORTALITY FACTORS OF PATIENTS SEPSIS AT VINH CITY GNERAL HOSPITAL

Thị Quý Đoàn1,, Thị Thu Hà Trần1, Thị Thảo Hồ1
1 Vinh City General Hospital

Main Article Content

Abstract

Objectives: To evaluate clinical, subclinical characteristics and predictive factors of mortality in patients with sepsis at Vinh City General Hospital in 2021-2022. Subjects   and   methods: A cross-sectional descriptive study with analysis of 55 patients  with  diagnosed sepsis treat at Vinh City General Hospital from 2021 to 2022. Results and conclusions: The study subjects have an  average age 67,7 ± 16,5 years old; with a male/female ratio 1,1/1; The entrance of unknown infections accounted for the highest rate of 43.6%, fever in 90,9%; E.coli and K.pneumonia were most common with 58,2% and 16,2%, respectively; Mean blood pressure less than 70 mmHg, albumin less than 35g/l and plateles less than 100000/mm3 were significantly associated with an increased risk of mortality.

Article Details

References

1. Rhodes A, Evans LE, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive Care Med. 2017; 43(3):304-377. doi:10.1007/s00134-017-4683-6
2. Fleischmann C, Scherag A, Adhikari NKJ, et al. Assessment of Global Incidence and Mortality of Hospital-treated Sepsis. Current Estimates and Limitations. Am J Respir Crit Care Med. 2016; 193 (3):259-272. doi:10.1164/rccm.201504-0781OC
3. Rudd KE, Johnson SC, Agesa KM, et al. Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study. Lancet Lond Engl. 2020;395(10219):200-211. doi:10.1016/S0140-6736 (19)32989-7
4. Bộ môn truyền nhiễm Đại học Y Hà Nội. Bệnh Truyền Nhiễm. 2016; Nhiễm khuẩn huyết: 75-88
5. Levy MM, Fink MP, Marshall JC, et al. 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. Crit Care Med. 2003; 31(4):1250-1256. doi:10.1097/ 01.CCM.0000050454.01978.3B
6. Kitazawa T, Yoshino Y, Tatsuno K, Ota Y, Yotsuyanagi H. Changes in the mean platelet volume levels after bloodstream infection have prognostic value. Intern Med Tokyo Jpn. 2013;52(13):1487-1493. doi:10.2169/internalmedicine.52.9555
7. Bùi Văn Vương. Luận văn thạc sĩ y học, Đại học Y Hà Nội. Đánh giá một số yếu tố tiên lượng tử vong trên bệnh nhân nhiễm khuẩn huyết tại Bệnh viện nhiệt đới Trung Ương từ 07/2017-06/2020. 2020
8. Pien BC, Sundaram P, Raoof N, et al. The clinical and prognostic importance of positive blood cultures in adults. Am J Med. 2010; 123(9): 819-828. doi:10.1016/j.amjmed.2010.03.021