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Factors relating to mortality in septic patients in Vietnamese intensive care units from a subgroup analysis of MOSAICS II study
SN. Do, CQ. Luong, DT. Pham, MH. Nguyen, NT. Nguyen, DQ. Huynh, QTA. Hoang, CX. Dao, TM. Le, HN. Bui, HT. Nguyen, HB. Hoang, TTP. Le, LTB. Nguyen, PT. Duong, TD. Nguyen, YH. Vu, GTT. Pham, T. Van Bui, TTN. Pham, HT. Hoang, C. Van Bui, NM. Nguyen,...
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie
NLK
Directory of Open Access Journals
od 2011
Free Medical Journals
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Nature Open Access
od 2011-12-01
PubMed Central
od 2011
Europe PubMed Central
od 2011
ProQuest Central
od 2011-01-01
Open Access Digital Library
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Open Access Digital Library
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Health & Medicine (ProQuest)
od 2011-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2011
Springer Nature OA/Free Journals
od 2011-12-01
- MeSH
- hodnocení rizik statistika a číselné údaje MeSH
- jednotky intenzivní péče statistika a číselné údaje MeSH
- lidé středního věku MeSH
- lidé MeSH
- mortalita v nemocnicích MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- senioři MeSH
- sepse mortalita terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- pozorovací studie MeSH
- Geografické názvy
- Vietnam MeSH
Sepsis is the most common cause of in-hospital deaths, especially from low-income and lower-middle-income countries (LMICs). This study aimed to investigate the mortality rate and associated factors from sepsis in intensive care units (ICUs) in an LMIC. We did a multicenter cross-sectional study of septic patients presenting to 15 adult ICUs throughout Vietnam on the 4 days representing the different seasons of 2019. Of 252 patients, 40.1% died in hospital and 33.3% died in ICU. ICUs with accredited training programs (odds ratio, OR: 0.309; 95% confidence interval, CI 0.122-0.783) and completion of the 3-h sepsis bundle (OR: 0.294; 95% CI 0.083-1.048) were associated with decreased hospital mortality. ICUs with intensivist-to-patient ratio of 1:6 to 8 (OR: 4.533; 95% CI 1.621-12.677), mechanical ventilation (OR: 3.890; 95% CI 1.445-10.474) and renal replacement therapy (OR: 2.816; 95% CI 1.318-6.016) were associated with increased ICU mortality, in contrast to non-surgical source control (OR: 0.292; 95% CI 0.126-0.678) which was associated with decreased ICU mortality. Improvements are needed in the management of sepsis in Vietnam such as increasing resources in critical care settings, making accredited training programs more available, improving compliance with sepsis bundles of care, and treating underlying illness and shock optimally in septic patients.
Department of Emergency and Critical Care Medicine Hanoi Medical University Hanoi 100000 Vietnam
Department of Emergency Medicine Emory University School of Medicine Atlanta GA 30322 USA
Department of Intensive Care Bach Mai Hospital Hanoi 100000 Vietnam
Emergency Department Hue Central General Hospital Hue City Thua Thien Hue 530000 Vietnam
Emergency Department Thanh Nhan General Hospital Hanoi 100000 Vietnam
Emory University Rollins School of Public Health Atlanta GA 30322 USA
Intensive Care Department Cho Ray Hospital Ho Chi Minh City 700000 Vietnam
Intensive Care Unit 115 People's Hospital Ho Chi Minh City 700000 Vietnam
Intensive Care Unit Bai Chay General Hospital Quang Ninh 200000 Vietnam
Intensive Care Unit Can Tho Central General Hospital Can Tho 900000 Vietnam
Intensive Care Unit Da Nang Hospital Da Nang 550000 Vietnam
Intensive Care Unit Dong Da General Hospital Hanoi 100000 Vietnam
Intensive Care Unit Hue Central General Hospital Hue City Thua Thien Hue 530000 Vietnam
Intensive Care Unit Saint Paul General Hospital Hanoi 100000 Vietnam
Intensive Care Unit Thai Nguyen Central General Hospital Thai Nguyen 250000 Vietnam
Intensive Care Unit Vinmec Times City International Hospital Hanoi 100000 Vietnam
Citace poskytuje Crossref.org
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