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Association between site of infection and in-hospital mortality in patients with sepsis admitted to emergency departments of tertiary hospitals in Medellin, Colombia / Elisa Bernal Sierra    

Público ISBD Título : Association between site of infection and in-hospital mortality in patients with sepsis admitted to emergency departments of tertiary hospitals in Medellin, Colombia Otros títulos : Asociación entre el sitio de infección y la mortalidad hospitalaria en pacientes con sepsis atendidos en urgencias de hospitales de tercer nivel en Medellín, Colombia Tipo de documento : documento electrónico Autores : Elisa Bernal Sierra, Fecha de publicación : 2019 Títulos uniformes : Revista Brasileira de Terapia Intensiva Idioma : Inglés (eng) Palabras clave : Sepsis  septic shock  shock  mortality  prognosis  infection  intensive care Resumen : Objective: To determine the association between the primary site of infection and in-hospital mortality as the main outcome, or the need for admission to the intensive care unit as a secondary outcome, in patients with sepsis admitted to the emergency department.Methods: This was a secondary analysis of a multicenter prospective cohort. Patients included in the study were older than 18 years with a diagnosis of severe sepsis or septic shock who were admitted to the emergency departments of three tertiary care hospitals. Of the 5022 eligible participants, 2510 were included. Multiple logistic regression analysis was performed for mortality.Results: The most common site of infection was the urinary tract, present in 27.8% of the cases, followed by pneumonia (27.5%) and intra-abdominal focus (10.8%). In 5.4% of the cases, no definite site of infection was identified on admission. Logistic regression revealed a significant association between the following sites of infection and in-hospital mortality when using the urinary infection group as a reference: pneumonia (OR 3.4; 95%CI, 2.2 - 5.2; p Mención de responsabilidad : César Caraballo, Johana Ascuntar, Carolina Hincapié, Camilo Restrepo, Elisa Bernal, Fabián Jaimes Referencia : Rev Bras Ter Intensiva. 2019 Jan-Mar;31(1):47-56 DOI (Digital Object Identifier) : 10.5935/0103-507X.20190011 PMID : 30970091 Derechos de uso : CC BY En línea : http://www.rbti.org.br/artigo/detalhes/0103507X-31-1-8 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4254 Association between site of infection and in-hospital mortality in patients with sepsis admitted to emergency departments of tertiary hospitals in Medellin, Colombia = Asociación entre el sitio de infección y la mortalidad hospitalaria en pacientes con sepsis atendidos en urgencias de hospitales de tercer nivel en Medellín, Colombia [documento electrónico] / Elisa Bernal Sierra,  . - 2019. Obra : Revista Brasileira de Terapia Intensiva Idioma : Inglés (eng) Palabras clave : Sepsis  septic shock  shock  mortality  prognosis  infection  intensive care Resumen : Objective: To determine the association between the primary site of infection and in-hospital mortality as the main outcome, or the need for admission to the intensive care unit as a secondary outcome, in patients with sepsis admitted to the emergency department.Methods: This was a secondary analysis of a multicenter prospective cohort. Patients included in the study were older than 18 years with a diagnosis of severe sepsis or septic shock who were admitted to the emergency departments of three tertiary care hospitals. Of the 5022 eligible participants, 2510 were included. Multiple logistic regression analysis was performed for mortality.Results: The most common site of infection was the urinary tract, present in 27.8% of the cases, followed by pneumonia (27.5%) and intra-abdominal focus (10.8%). In 5.4% of the cases, no definite site of infection was identified on admission. Logistic regression revealed a significant association between the following sites of infection and in-hospital mortality when using the urinary infection group as a reference: pneumonia (OR 3.4; 95%CI, 2.2 - 5.2; p Mención de responsabilidad : César Caraballo, Johana Ascuntar, Carolina Hincapié, Camilo Restrepo, Elisa Bernal, Fabián Jaimes Referencia : Rev Bras Ter Intensiva. 2019 Jan-Mar;31(1):47-56 DOI (Digital Object Identifier) : 10.5935/0103-507X.20190011 PMID : 30970091 Derechos de uso : CC BY En línea : http://www.rbti.org.br/artigo/detalhes/0103507X-31-1-8 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4254

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Documentos electrónicos

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Epidemiology of sepsis in Colombian intensive care units / Gisela de la Rosa Echavez  

Público ISBD Título : Epidemiology of sepsis in Colombian intensive care units Otros títulos : Epidemiología de la sepsis en unidades de cuidado intensivo en Colombia Tipo de documento : documento electrónico Autores : Gisela de la Rosa Echavez, Fecha de publicación : 2014 Títulos uniformes : Biomédica Idioma : Inglés (eng) Palabras clave : Sepsis/epidemiology  septic shock  intensive care Resumen : Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America. Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients requiring admission to intensive care units in Colombia. Materials and methods: This was a secondary analysis of a prospective cohort study carried out over a six-month period, from September 1, 2007, to February 28, 2008, in ten medical/surgical intensive care units in four Colombian cities. Patients were considered eligible if they had a probable or confirmed diagnosis of infection according to medical records. We recorded demographic characteristics, first admission diagnosis and co-morbidities, clinical status, and sepsis, severe sepsis or septic shock. Results: During the study period, 826 patients were admitted to the intensive care units. From these patients, 421 (51%) developed sepsis in the community, 361 (44%) in the ICU, and 44 (5%) during hospitalization in the general ward. Two hundred and fifty three patients (30.6%) had involvement of one organ system: 20% had respiratory involvement, followed by kidney and central nervous system involvement with 3.4% and 2.7%, respectively. Conclusions: In our cohort of septic patients, the prevalence of sepsis treated in ICU is similar to that reported in other studies, as well as the overall mortality. Mención de responsabilidad : Guillermo Ortíz, Carmelo Dueñas, Ferney Rodríguez, Lena Barrera, Gisela de La Rosa, Rodolfo Dennis, Marcela Granados, Darío Londoño, Francisco Molina, Fabián Jaimes Referencia : Biomedica. 2014 Jan-Mar;34(1):40-7. DOI (Digital Object Identifier) : 10.7705/biomedica.v34i1.1439 PMID : 24967858 En línea : https://www.revistabiomedica.org/index.php/biomedica/article/view/1439 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3806 Epidemiology of sepsis in Colombian intensive care units = Epidemiología de la sepsis en unidades de cuidado intensivo en Colombia [documento electrónico] / Gisela de la Rosa Echavez,  . - 2014. Obra : Biomédica Idioma : Inglés (eng) Palabras clave : Sepsis/epidemiology  septic shock  intensive care Resumen : Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America. Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients requiring admission to intensive care units in Colombia. Materials and methods: This was a secondary analysis of a prospective cohort study carried out over a six-month period, from September 1, 2007, to February 28, 2008, in ten medical/surgical intensive care units in four Colombian cities. Patients were considered eligible if they had a probable or confirmed diagnosis of infection according to medical records. We recorded demographic characteristics, first admission diagnosis and co-morbidities, clinical status, and sepsis, severe sepsis or septic shock. Results: During the study period, 826 patients were admitted to the intensive care units. From these patients, 421 (51%) developed sepsis in the community, 361 (44%) in the ICU, and 44 (5%) during hospitalization in the general ward. Two hundred and fifty three patients (30.6%) had involvement of one organ system: 20% had respiratory involvement, followed by kidney and central nervous system involvement with 3.4% and 2.7%, respectively. Conclusions: In our cohort of septic patients, the prevalence of sepsis treated in ICU is similar to that reported in other studies, as well as the overall mortality. Mención de responsabilidad : Guillermo Ortíz, Carmelo Dueñas, Ferney Rodríguez, Lena Barrera, Gisela de La Rosa, Rodolfo Dennis, Marcela Granados, Darío Londoño, Francisco Molina, Fabián Jaimes Referencia : Biomedica. 2014 Jan-Mar;34(1):40-7. DOI (Digital Object Identifier) : 10.7705/biomedica.v34i1.1439 PMID : 24967858 En línea : https://www.revistabiomedica.org/index.php/biomedica/article/view/1439 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3806

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Which percutaneous tracheostomy method is better? A systematic review / Álvaro Enrique Sanabria Quiroga  

Público ISBD Título : Which percutaneous tracheostomy method is better? A systematic review Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2014 Títulos uniformes : Respiratory Care Idioma : Inglés (eng) Palabras clave : Tracheostomy  meta-analysis  intensive care  surgery  minimally invasive surgical procedures Resumen : Background: The aim of this study was to assess the different methods of percutaneous tracheostomy in terms of successful performance of the tracheostomy as well as safety. Tracheostomy is the most common procedure performed on the airway for patients in ICUs. Lately, several methods of percutaneous tracheostomy (multiple dilator, progressive dilator, forceps dilation, screw-like dilation, balloon dilation, and translaryngeal) have been described, with theoretical advantages, but there is no consensus about which is better. Methods: A systematic review with critical appraisal of the literature was done. Literature in multiple databases was searched. Randomized controlled trials comparing different tracheostomy methods were selected. Clinical and methodological characteristics were assessed. A meta-analysis using fixed effect models was planned for statistically homogeneous outcomes. Results: Fourteen randomized controlled trials were included, most of them with small sample sizes and with comparisons of multiple methods. Blue Rhino methods were less difficult for surgeons (risk difference of 14.7% [95% CI 8–21.5]) and had more minor bleeding events (risk difference of −6.3% [95% CI −13.58 to 0.8]). There were no differences in major bleeding events. Statistically, heterogeneity and lack of data impede comparison with other outcomes. Conclusion: The Blue Rhino method is less difficult and has more minor bleeding events, but physicians also have more experience with this technique. However, trials are underpowered to define the best method. Mención de responsabilidad : Alvaro Sanabria Referencia : Respir Care. 2014 Nov;59(11):1660-70. DOI (Digital Object Identifier) : 10.4187/respcare.03050 PMID : 25185145 En línea : http://rc.rcjournal.com/content/59/11 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3760 Which percutaneous tracheostomy method is better? A systematic review [documento electrónico] / Álvaro Enrique Sanabria Quiroga,  . - 2014. Obra : Respiratory Care Idioma : Inglés (eng) Palabras clave : Tracheostomy  meta-analysis  intensive care  surgery  minimally invasive surgical procedures Resumen : Background: The aim of this study was to assess the different methods of percutaneous tracheostomy in terms of successful performance of the tracheostomy as well as safety. Tracheostomy is the most common procedure performed on the airway for patients in ICUs. Lately, several methods of percutaneous tracheostomy (multiple dilator, progressive dilator, forceps dilation, screw-like dilation, balloon dilation, and translaryngeal) have been described, with theoretical advantages, but there is no consensus about which is better. Methods: A systematic review with critical appraisal of the literature was done. Literature in multiple databases was searched. Randomized controlled trials comparing different tracheostomy methods were selected. Clinical and methodological characteristics were assessed. A meta-analysis using fixed effect models was planned for statistically homogeneous outcomes. Results: Fourteen randomized controlled trials were included, most of them with small sample sizes and with comparisons of multiple methods. Blue Rhino methods were less difficult for surgeons (risk difference of 14.7% [95% CI 8–21.5]) and had more minor bleeding events (risk difference of −6.3% [95% CI −13.58 to 0.8]). There were no differences in major bleeding events. Statistically, heterogeneity and lack of data impede comparison with other outcomes. Conclusion: The Blue Rhino method is less difficult and has more minor bleeding events, but physicians also have more experience with this technique. However, trials are underpowered to define the best method. Mención de responsabilidad : Alvaro Sanabria Referencia : Respir Care. 2014 Nov;59(11):1660-70. DOI (Digital Object Identifier) : 10.4187/respcare.03050 PMID : 25185145 En línea : http://rc.rcjournal.com/content/59/11 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3760

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