Abstract
Severe septic complications are an important clinical problem. The outcomes of sepsis treatment, not to mention septic shock, are extremely unsatisfactory. To improve outcomes, the complex approach should be used, which, according to modern ideas about management as a science of health management, should extend to the field of human, medical, technological and material resources. The article considers the sticking-points in each of these areas and, based on literature data and own experience, makes suggestions for improving the care of patients with sepsis.
Publisher
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Reference28 articles.
1. Kim J., Kim K., Lee H., Ahn S. Epidemiology of sepsis in Korea; a population-based study of incidence, mortality, cost and risk factors for death in sepsis // Clinical and Experimental Emergency Medicine. 2019;6(1):49–63. Doi: 10.15441/ceem.18.007.
2. Rudd K. E., Johnson S. C., Agesa K. M. et al. Global, regional, and national sepsis incidence and mortality, 1990–2017; analysis for the Global Burden of Disease Study // The Lancet. 2020;395(10219):200–211. Doi: 10.1016/S0140-6736(19)32989-7.
3. Paoli C. J., Reynolds M. A., Sinha M., Gitlin M., Crouser E . Epidemiology and costs of sepsis in the United States ‒ an analysis based on timing of diagnosis and severity level // Crit. Care Med. 2018;46(12):1889–1897. Doi: 10.1097/CCM.0000000000003342.
4. Torio C. M., Moore B. J. National Inpatient Hospital Costs; The most expensive conditions by payer, 2013 // Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US). Statistical Brief #204. 2016. PMID: 27359025.
5. Bagshaw S. M., Uchino S., Bellomo R. et al. Beginning and ending supportive therapy for the kidney (BEST Kidney) investigators. Septic acute kidney injury in critically ill patients; clinical characteristics and outcomes // Clin J Am Soc Nephrol. 2007;2(3):431–439. Doi: 10.2215/CJN.03681106.