Korean Shock Society septic shock registry: a preliminary report
- Authors
- Shin, Tae Gun; Hwang, Sung Yeon; Kang, Gu Hyun; Kim, Won Young; Ryoo, Seung Mok; Kim, Kyuseok; Jo, You Hwan; Chung, Sung Phil; Joo, Young Seon; Beom, Jin Ho; Choi, Sung-Hyuk; Yoon, Young Hoon; Kwon, Woon Yong; Lim, Tae Ho; Han, Kap Su; Choi, Han Sung; Suh, Gil Joon
- Issue Date
- 9월-2017
- Publisher
- SEOUL KOREAN SOC EMERGENCY MEDICINE
- Keywords
- Sepsis; Septic shock; Mortality; Patient care bundles
- Citation
- CLINICAL AND EXPERIMENTAL EMERGENCY MEDICINE, v.4, no.3, pp.146 - 153
- Indexed
- KCI
OTHER
- Journal Title
- CLINICAL AND EXPERIMENTAL EMERGENCY MEDICINE
- Volume
- 4
- Number
- 3
- Start Page
- 146
- End Page
- 153
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/82345
- DOI
- 10.15441/ceem.17.204
- ISSN
- 2383-4625
- Abstract
- Objective To evaluate the clinical characteristics, therapeutic interventions, and outcomes of patients with septic shock admitted to the emergency department (ED). Methods This study was a preliminary, descriptive analysis of a prospective, multi-center, observational registry of the EDs of 10 hospitals participating in the Korean Shock Society. Patients aged 19 years or older who had a suspected or confirmed infection and evidence of refractory hypotension or hypoperfusion were included. Results A total of 468 patients were enrolled (median age, 71.3 years; male, 55.1%; refractory hypotension, 82.9%; hyperlactatemia without hypotension, 17.1%). Respiratory infection was the most common source of infection (31.0%). The median Sepsis-related Organ Failure Assessment score was 7.5. The sepsis bundle compliance was 91.2% for lactate measurement, 70.3% for blood culture, 68.4% for antibiotic administration, 80.3% for fluid resuscitation, 97.8% for vasopressor application, 68.0% for central venous pressure measurement, 22.0% for central venous oxygen saturation measurement, and 59.2% for repeated lactate measurement. Among patients who underwent interventions for source control (n=117, 25.1%), 43 (36.8%) received interventions within 12 hours of ED arrival. The in-hospital, 28-day, and 90-day mortality rates were 22.9%, 21.8%, and 27.1%, respectively. The median ED and hospital lengths of stay were 6.8 hours and 12 days, respectively. Conclusion This preliminary report revealed a mortality of over 20% in patients with septic shock, which suggests that there are areas for improvement in terms of the quality of initial resuscitation and outcomes of septic shock patients in the ED.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.