McNevin C, McDowell R, Fitzpatrick F, Gilligan P, Wakai A
Royal College of Surgeons in Ireland (RCSI) Medical School, Dublin 2, Ireland.
RCSI Department of General Practice, Division of Population Health Sciences (PHS), Dublin 2, Ireland.
Ir Med J. 2016 Aug 8;109(7):435.
Emergency medicine plays a central role in the early recognition of patients presenting to hospital with sepsis. However, the epidemiology of sepsis in the Irish Emergency Department (ED) setting has not been described. The primary aim of this study was to determine the proportion of adult ED patients who meet the current criteria for uncomplicated sepsis. This cross-sectional study was performed in the ED of Beaumont Hospital, Dublin. The clinical records of all patients presenting to the ED over a four-week period were retrospectively screened to determine if they met the current Health Service Executive (HSE) criteria for uncomplicated sepsis. Overall, 3,585 adult patients attended the ED during the study period, with 152 patients meeting the criteria for uncomplicated sepsis. The proportion of ED patients who met the criteria for uncomplicated sepsis was 4.24% (95% CI 3.57-4.91%).
急诊医学在早期识别因脓毒症入院的患者方面发挥着核心作用。然而，爱尔兰急诊科（ED）环境中脓毒症的流行病学情况尚未得到描述。本研究的主要目的是确定符合当前单纯性脓毒症标准的成年急诊患者的比例。这项横断面研究在都柏林博蒙特医院的急诊科进行。对四周期间所有到急诊科就诊患者的临床记录进行回顾性筛查，以确定他们是否符合当前卫生服务执行局（HSE）的单纯性脓毒症标准。总体而言，在研究期间有3585名成年患者到急诊科就诊，其中152名患者符合单纯性脓毒症标准。符合单纯性脓毒症标准的急诊患者比例为4.24%（95%置信区间3.57 - 4.91%）。
