Department of Surgery, The Methodist Hospital/Weill Cornell Medical College, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030, USA.
Am J Surg. 2009 Dec;198(6):868-74. doi: 10.1016/j.amjsurg.2009.05.025.
Sepsis is a deadly and potentially preventable complication. A better understanding of sepsis in general surgery patients is needed to help direct resources to those patients at highest risk for death from sepsis.
We identified risk factors for sepsis in general surgery patients by using the National Surgical Quality Improvement Project database.
Analysis of the database identified 3 major risk factors for both the development of sepsis and death from sepsis in general surgery patients. These risk factors are age older than 60 years, need for emergency surgery, and the presence of comorbid conditions.
Risk factors for death from sepsis or septic shock in general surgery patients include age older than 60 years, need for emergency surgery, and the presence of preexisting comorbidities. These findings emphasize the need for early recognition through aggressive sepsis screening and rapid implementation of evidence-based interventions for sepsis and septic shock in general surgery patients with these risk factors.
脓毒症是一种致命且可能预防的并发症。为了帮助将资源集中用于那些因脓毒症而死亡风险最高的患者，需要更好地了解普通外科患者的脓毒症。
我们使用国家外科质量改进计划数据库确定了普通外科患者发生脓毒症的危险因素。
对数据库的分析确定了普通外科患者发生脓毒症和因脓毒症死亡的 3 个主要危险因素。这些危险因素包括年龄大于 60 岁、需要紧急手术以及合并症的存在。
普通外科患者因脓毒症或感染性休克而死亡的危险因素包括年龄大于 60 岁、需要紧急手术以及存在预先存在的合并症。这些发现强调了需要通过积极的脓毒症筛查以及对这些危险因素的普通外科患者实施基于证据的脓毒症和感染性休克干预措施来早期识别。
