Author:
Hussein Dr. Ali Tariq,Ismail Dr. Raghad S.,Al-Tameemi Dr. Shadan Ahmed Falih
Abstract
Background: Sepsis is a phenomenon caused by an infection that causes physiologic, pathologic, as well as biochemical problems. Objective: This paper aims to evaluate the outcomes of patients with sepsis and find out the mortality rate. Patients and methods: This paper was presented as a cross-sectional study where specialize to evaluate the outcomes of patients with sepsis and find out the mortality rate which get 100 cases in different hospitals in Iraq from 26th August to 18th 2022. This paper was analysed and evaluated of mortality rate with sepsis patients by SPSS program. The characteristics of demographic baseline outcomes were progressed with females and males for ages older than 25 and under than 70 years. Discussion: The interdisciplinary sepsis quality improvement project resulted in a considerable improvement in organizational sepsis mortality at the study hospital, with an observed sepsis mortality decrease of 8%. This resulted in a 37% decrease in sepsis O/E mortality. Patients having sepsis were considerably fewer likely to die following the intervention despite adjusting for patient variables and predicted mortality (OR = 0.64). Septic patients had an ICU stay that was 1.3 days shorter and an overall hospital stay that was 2.6 days shorter. With a baseline rate of death of 30% and an observed rate of mortality of 18.9%, the study team believes that the sepsis campaign saved 56 lives. There is significant evidence that sepsis teaching initiatives have a good impact. The study of complications was found to be fewer in comparisons with previous studies were, got 46 cases, and the risk factor of complications was got a higher percentage considered as death and gangrene, with 24 cases, where that result to blood loss during operative and reduce with blood pressure. Conclusion: The implementation of our study into the sepsis quality improvement program resulted in a decrease within the overall in-hospital sepsis death rate. Patients with sepsis during the treatment period had an approximate 35% decreased probability of dying. ICU days and total hospital LOS were also considerably reduced. Although 44 instances reduced projected direct consequences, the effect was not considered statistically significant.
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