Page 95 - Sách năm 2022 - Fulltext - hieu final

15.1 mmHg. 82.5% patients had no organ failure; patients had organ failure with 1 and ≥ 2

organs were 6% and 2.5%. The rates of SSC-3 obligation in blood culture; fluid resuscitation;
using broad spectrum antibiotics and lactate measurement were sequentially 97.5%; 90%;

100% and 90% . The rate of overall SSC-3 obligation was 77.5%. 100% patients were collected

the personal information on HIS within 5 minutes; 90% cases were examined by doctors within

10 minutes; 77.5% patients were performed the medical presciptions by nurses within 10

minutes. Medicine and medical devices were available for treatment within 10 minutes in 65%

cases, and not available for treatment within 15 minutes in 5% cases. The rate of positive blood
cuture was 40% cases; 2.5% patients needed mechanical ventilation. 80% patients were

discharged; 20% patients needed transfering to other hostipals. The median length of

hospitalization was 8 (6; 11.75) days. The median ICU length of stay was 5.5 (3; 8) days.

There was no correlation between the SSC-3 obligation and general characteristics of patients;

sources of infection; the diagnoses; APACHE II score; SOFA score; the number of organs
underwent failure; the results and seveval related factors.

IV. CONCLUSIONS

The rate of overall SSC-3 obligation was 77.5%. The rates of SSC-3 obligation in using

broad spectrum antibiotics; blood culture; fluid resuscitation; and lactate measurement were

sequentially 100%; 97.5%; 90% and 90% . There were still 5% cases that medicine and medical
devices were not available for treatment within 15 minutes. Therefore, we suggest that the

Emergency Department should organize the human resource more effectively to focus on these

emergency cases.

TÀI LIỆU THAM KHẢO

1. Acheampong, A. and J.L. Vincent, A positive fluid balance is an independent prognostic factor in
patients with sepsis. Crit Care, 2015. 19(1): p. 251.
2. Angus, D.C., et al., Epidemiology of severe sepsis in the United States: analysis of incidence, outcome,
and associated costs of care. Crit Care Med, 2001. 29(7): p. 1303-10.
3. Annane, D., et al., Corticosteroids in the treatment of severe sepsis and septic shock in adults: a
systematic review. Jama, 2009. 301(22): p. 2362-75.
4. Annane, D., et al., Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality
in patients with septic shock. Jama, 2002. 288(7): p. 862-71.
5. Bochud, P.Y., et al., Antimicrobial therapy for patients with severe sepsis and septic shock: an evidence-
based review. Crit Care Med, 2004. 32(11 Suppl): p. S495-512.

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