McNevin C, McDowell R, Fitzpatrick F, O'Sullivan R, Wakai A
Medical School, Royal College of Surgeons in Ireland (RCSI), Dublin 2, Ireland.
RCSI Department of General Practice, Division of Population Health Sciences (PHS), Dublin 2, Ireland.
Ir Med J. 2018 Feb 9;111(2):692.
Severe sepsis and septic shock are among the leading causes of death globally. Despite the central role the emergency department (ED) plays in the early identification of patients presenting to hospital with sepsis, the prevalence of severe sepsis and septic shock in the Irish ED setting has not been described. The primary aim of this study was to measure the prevalence of severe sepsis or septic shock in an Irish adult ED setting. The clinical records of patients presenting to the ED over a four-week period were retrospectively reviewed to determine if they met the current Health Service Executive (HSE) criteria for severe sepsis or septic shock. Overall, 3,585 adult patients attended the ED during the study period, with 42 patients meeting the criteria for severe sepsis or septic shock. The ED prevalence of severe sepsis or septic shock was 11.7 patients (95% CI 8.1 - 15.4%) per 1000 ED attendances.
严重脓毒症和脓毒性休克是全球主要的死亡原因之一。尽管急诊科在早期识别因脓毒症入院的患者方面发挥着核心作用，但爱尔兰急诊科环境中严重脓毒症和脓毒性休克的患病率尚未得到描述。本研究的主要目的是测量爱尔兰成人急诊科环境中严重脓毒症或脓毒性休克的患病率。回顾性审查了在四周内到急诊科就诊的患者的临床记录，以确定他们是否符合当前卫生服务执行局（HSE）关于严重脓毒症或脓毒性休克的标准。总体而言，在研究期间有3585名成年患者到急诊科就诊，其中42名患者符合严重脓毒症或脓毒性休克的标准。严重脓毒症或脓毒性休克的急诊科患病率为每1000次急诊科就诊中有11.7例患者（95%置信区间8.1 - 15.4%）。
