Primary sepsis in a university hospital in northern Sweden: A retrospective study
Background: Severe sepsis and septic shock are associated with high mortality rates. Data on sepsis outcome from Scandinavian countries are sparse. The aim of this study was to examine the length of stay (LOS) in the ICU, ICU mortality and costs of care for adult patients with primary sepsis in a un...
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crwiley:10.1111/j.0001-5172.2004.00458.x 2024-06-02T08:12:09+00:00 Primary sepsis in a university hospital in northern Sweden: A retrospective study Jacobson, S. Johansson, G. Winsö, O. 2004 http://dx.doi.org/10.1111/j.0001-5172.2004.00458.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.0001-5172.2004.00458.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.0001-5172.2004.00458.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Acta Anaesthesiologica Scandinavica volume 48, issue 8, page 960-967 ISSN 0001-5172 1399-6576 journal-article 2004 crwiley https://doi.org/10.1111/j.0001-5172.2004.00458.x 2024-05-03T12:02:08Z Background: Severe sepsis and septic shock are associated with high mortality rates. Data on sepsis outcome from Scandinavian countries are sparse. The aim of this study was to examine the length of stay (LOS) in the ICU, ICU mortality and costs of care for adult patients with primary sepsis in a university hospital in northern Sweden. Methods: We performed a retrospective data analysis of records of 92 patients admitted over a 3‐year period, under the diagnosis of sepsis or urosepsis. Demographic data, admission category, APACHE II score, aetiology and severity of sepsis, ICU LOS, mortality and TISS were analyzed. Results: Eighty‐one adult patients were identified by standard definitions as suffering from sepsis. The median ICU length of stay was 4.2 days, 6 days for survivors and 2.1 days for non‐survivors. Thirteen out of 20 deaths occurred within the first 3 days after admission. Overall ICU mortality rate was 24.7% while the ICU mortality for patients with septic shock was 57.7%. The mean costs of care for patients with sepsis were 3139 Euros day −1 and the cost of care per patient surviving sepsis was 38 494 Euros. Conclusion: The incidence of primary sepsis in our ICU was low. Previous reports on high mortality in association with severe sepsis and septic shock are valid also at our hospital. The ICU‐LOS was shorter than previously reported, while our costs of care were in the same range as stated by others. This retrospective analysis is valid for interpretation of the applicability of currently available sepsis therapies. Article in Journal/Newspaper Northern Sweden Wiley Online Library Acta Anaesthesiologica Scandinavica 48 8 960 967 |
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Background: Severe sepsis and septic shock are associated with high mortality rates. Data on sepsis outcome from Scandinavian countries are sparse. The aim of this study was to examine the length of stay (LOS) in the ICU, ICU mortality and costs of care for adult patients with primary sepsis in a university hospital in northern Sweden. Methods: We performed a retrospective data analysis of records of 92 patients admitted over a 3‐year period, under the diagnosis of sepsis or urosepsis. Demographic data, admission category, APACHE II score, aetiology and severity of sepsis, ICU LOS, mortality and TISS were analyzed. Results: Eighty‐one adult patients were identified by standard definitions as suffering from sepsis. The median ICU length of stay was 4.2 days, 6 days for survivors and 2.1 days for non‐survivors. Thirteen out of 20 deaths occurred within the first 3 days after admission. Overall ICU mortality rate was 24.7% while the ICU mortality for patients with septic shock was 57.7%. The mean costs of care for patients with sepsis were 3139 Euros day −1 and the cost of care per patient surviving sepsis was 38 494 Euros. Conclusion: The incidence of primary sepsis in our ICU was low. Previous reports on high mortality in association with severe sepsis and septic shock are valid also at our hospital. The ICU‐LOS was shorter than previously reported, while our costs of care were in the same range as stated by others. This retrospective analysis is valid for interpretation of the applicability of currently available sepsis therapies. |
format |
Article in Journal/Newspaper |
author |
Jacobson, S. Johansson, G. Winsö, O. |
spellingShingle |
Jacobson, S. Johansson, G. Winsö, O. Primary sepsis in a university hospital in northern Sweden: A retrospective study |
author_facet |
Jacobson, S. Johansson, G. Winsö, O. |
author_sort |
Jacobson, S. |
title |
Primary sepsis in a university hospital in northern Sweden: A retrospective study |
title_short |
Primary sepsis in a university hospital in northern Sweden: A retrospective study |
title_full |
Primary sepsis in a university hospital in northern Sweden: A retrospective study |
title_fullStr |
Primary sepsis in a university hospital in northern Sweden: A retrospective study |
title_full_unstemmed |
Primary sepsis in a university hospital in northern Sweden: A retrospective study |
title_sort |
primary sepsis in a university hospital in northern sweden: a retrospective study |
publisher |
Wiley |
publishDate |
2004 |
url |
http://dx.doi.org/10.1111/j.0001-5172.2004.00458.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.0001-5172.2004.00458.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.0001-5172.2004.00458.x |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Acta Anaesthesiologica Scandinavica volume 48, issue 8, page 960-967 ISSN 0001-5172 1399-6576 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/j.0001-5172.2004.00458.x |
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Acta Anaesthesiologica Scandinavica |
container_volume |
48 |
container_issue |
8 |
container_start_page |
960 |
op_container_end_page |
967 |
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1800758508525715456 |