Document Type : Research Article
Abstract
Background: The sepsis which is defined as a systemic inflammatory response syndrome during or following an infectious event represents a common frequent entity in the emergency department. In this study was to find out the outcome of sepsis patients that presented to the emergency room and to explore the relationship between presentation and outcome.
Patients and methods: It is a prospective follow up study conducted in Emergency Room of Medical city, Baghdad through the period from 1st of January to 31st of October, 2019 on a sample of 100 sepsis patients. The study group were followed up for one month after their discharge and final outcomes of eligible patients were either alive or dead.
Results: The outcome was death in 89% of sepsis patients, and alive in 11% of them. Most (91%) of deaths occurred in high dependency unit, 4.5% of deaths occurred in intensive care unit and 4.5% of deaths occurred in the emergency department. Female gender, shortness of breath, diabetes history, cerebrovascular accident history, blood transfusion among patients with sepsis are significant risk factors of mortality. There was a significant association between longer high dependency unit stay duration and death outcome of patients with sepsis (p<0.01).
Conclusions: Although the death rate of sepsis patients admitted to Baghdad Teaching hospital is high, but it is within reported international range. We should develop and improve the services in high dependency unit.