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成人重症监护病房的脓毒症。

Sepsis among Adults Admitted to Intensive Care Unit of a Tertiary Care Centre.

机构信息

Department of Anesthesiology and Critical Care, Nepal Armed Police Force Hospital, Balambu, Kathmandu, Nepal.

Department of Anesthesiology and Critical Care, Nepal Medical College, Jorpati, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2024 Feb 24;62(270):85-88. doi: 10.31729/jnma.8439.

Abstract

INTRODUCTION

Sepsis is a syndrome that starts with an infection, causes organ dysfunction, and leads to death is a global health issue in critically ill patients. While its epidemiology is well-known in high-income countries, it is poorly understood in low- and middle-income countries, including Nepal. This study aimed to find out the prevalence of sepsis among adults admitted to the intensive care unit of a tertiary care centre.

METHODS

This descriptive cross-sectional study was conducted among adults admitted to the intensive care unit after obtaining ethical approval from the Ethical Review Board. Data was collected from 11 January 2022 and 29 December 2022 from hospital records. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.

RESULTS

Among 195 patients, the prevalence of sepsis was seen in 74 (37.95%) (31.14-44.76, 95% Confidence Interval). Septic patients had a median age of 44 (interquartile range: 33.75±60.25) years. A total of 40 (54.05%) were male. A total of 28 (37.84%) septic patients were identified with ≥2 diagnoses, while 9 (12.16%) had ≥2 comorbidities.

CONCLUSIONS

The prevalence of sepsis among adult patients admitted to the intensive care unit was higher as compared to other studies done in other international studies.

KEYWORDS

intensive care units; prevalence; sepsis.

摘要

引言

脓毒症是一种由感染引起的综合征,可导致器官功能障碍和死亡,是危重症患者的全球性健康问题。虽然其在高收入国家的流行病学情况广为人知,但在包括尼泊尔在内的低收入和中等收入国家却知之甚少。本研究旨在了解一家三级护理中心重症监护病房成人患者中脓毒症的患病率。

方法

本描述性横断面研究在获得伦理审查委员会的伦理批准后,对入住重症监护病房的成年人进行。数据于 2022 年 1 月 11 日至 2022 年 12 月 29 日从医院记录中收集。使用便利抽样法。点估计值在 95%置信区间内计算。

结果

在 195 名患者中,有 74 名(37.95%)(31.14-44.76,95%置信区间)患有脓毒症。脓毒症患者的中位年龄为 44 岁(四分位间距:33.75±60.25)。共有 40 名(54.05%)男性。共有 28 名(37.84%)脓毒症患者被确定有≥2 种诊断,而 9 名(12.16%)有≥2 种合并症。

结论

与其他国际研究中进行的其他研究相比,入住重症监护病房的成年患者中脓毒症的患病率更高。

关键词

重症监护病房;患病率;脓毒症。

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Severe sepsis and septic shock.严重脓毒症和脓毒性休克。
N Engl J Med. 2013 Aug 29;369(9):840-51. doi: 10.1056/NEJMra1208623.

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