1 / 16

Impact of Invasive Monitoring on Severe Sepsis Outcomes in ED: A Cohort Study

This cohort study examines the impact of invasive monitoring interventions in patients with severe sepsis and septic shock, with a focus on those presenting with hypotension or elevated lactate levels. Conducted in a large urban tertiary-care hospital's Emergency Department and Medical Intensive Care Unit, the study highlights hemodynamic monitoring parameters, including central venous pressure, mean arterial pressure, and continuous venous oxygen saturation. Results reveal a 30.5% in-hospital mortality rate among patients, emphasizing the challenges in managing severe sepsis and the complexities surrounding treatment protocols.

kalil
Télécharger la présentation

Impact of Invasive Monitoring on Severe Sepsis Outcomes in ED: A Cohort Study

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Abstract

  2. Demographic Variables • Age • 64-68 • Gender • Male and female • Diagnosis • Sepsis or septic shock • Hypotension • Elevated lactate level

  3. Research Design • Specific design of study • Cohort Study • Interventions • Use and insertion of invasive monitoring equipment in ED • Monitoring of hemodynamic parameters such as: • central venous pressure (CVP) • arterial pressure (MAP) • continuous venous oxygen saturation (ScvO2) • Group • Completed protocol • Failed to complete protocol

  4. Sample and Setting • Setting • Large urban tertiary-care hospital • Emergency Department (ED) • Medical Intensive Care Unit (MICU) • Inclusion criteria • Patients admitted to the ED with severe sepsis and hypotension or elevated lactate level • Exclusion criteria • Refusal of central line insertion • Documented contraindication to central line insertion • Did not survive long enough to undergo 6 h of EGDT • Patients not a candidate for aggressive treatment

  5. Sample and Setting (cont.) • Method used • Statistical method • Sample size • Independent-samples t test over both the 3-month and the 6-month period. • p value based on an independent-samples t test • Mortality rate • The eligible patients had an overall in-hospital mortality rate of 30.5% with a mean APACHE II score of 29. • Refusal to participate number and percentage • 2 patient refused CVP • 19 total did not meet criteria • Institutional review board • Rhode Island Hospital • Consent • Waived

  6. References

  7. References

More Related