Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.

<h4>Background</h4>The Surviving Sepsis Campaign (SSC) guidelines for the management of severe sepsis (SS) and septic shock (SSh) have been recommended to reduce morbidity and mortality.<h4>Materials and methods</h4>A quasi-experimental study was conducted in a medical-surgic...

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Autores principales:	Sandra Christina Pereira Lima Shiramizo, Alexandre R Marra, Marcelino S Durão, Ângela T Paes, Michael B Edmond, Oscar Fernando Pavão dos Santos
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6696a0332b4547beb8f60022c01b90f3
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spelling	oai:doaj.org-article:6696a0332b4547beb8f60022c01b90f32021-11-18T07:35:04ZDecreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.1932-620310.1371/journal.pone.0026790https://doaj.org/article/6696a0332b4547beb8f60022c01b90f32011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22073193/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The Surviving Sepsis Campaign (SSC) guidelines for the management of severe sepsis (SS) and septic shock (SSh) have been recommended to reduce morbidity and mortality.<h4>Materials and methods</h4>A quasi-experimental study was conducted in a medical-surgical ICU. Multiple interventions to optimize SS and SSh shock patients' clinical outcomes were performed by applying sepsis bundles (6- and 24-hour) in May 2006. We compared bundle compliance and patient outcomes before (July 2005-April 2006) and after (May 2006-December 2009) implementation of the interventions.<h4>Results</h4>A total of 564 SS and SSh patients were identified. Prior to the intervention, compliance with the 6 hour-sepsis resuscitation bundle was only 6%. After the intervention, compliance was as follows: 8.2% from May to December 2006, 9.3% in 2007, 21.1% in 2008 and 13.7% in 2009. For the 24 hour-management bundle, baseline compliance was 15.0%. After the intervention, compliance was 15.1% from May to December 2006, 21.4% in 2007, 27.8% in 2008 and 44.4% in 2009. The in-hospital mortality was 54.0% from July 2005 to April 2006, 41.1% from May to December 2006, 39.3% in 2007, 41.4% in 2008 and 16.2% in 2009.<h4>Conclusion</h4>These results suggest reducing SS and SSh patient mortality is a complex process that involves multiple performance measures and interventions.Sandra Christina Pereira Lima ShiramizoAlexandre R MarraMarcelino S DurãoÂngela T PaesMichael B EdmondOscar Fernando Pavão dos SantosPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 11, p e26790 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sandra Christina Pereira Lima Shiramizo Alexandre R Marra Marcelino S Durão Ângela T Paes Michael B Edmond Oscar Fernando Pavão dos Santos Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.
description	<h4>Background</h4>The Surviving Sepsis Campaign (SSC) guidelines for the management of severe sepsis (SS) and septic shock (SSh) have been recommended to reduce morbidity and mortality.<h4>Materials and methods</h4>A quasi-experimental study was conducted in a medical-surgical ICU. Multiple interventions to optimize SS and SSh shock patients' clinical outcomes were performed by applying sepsis bundles (6- and 24-hour) in May 2006. We compared bundle compliance and patient outcomes before (July 2005-April 2006) and after (May 2006-December 2009) implementation of the interventions.<h4>Results</h4>A total of 564 SS and SSh patients were identified. Prior to the intervention, compliance with the 6 hour-sepsis resuscitation bundle was only 6%. After the intervention, compliance was as follows: 8.2% from May to December 2006, 9.3% in 2007, 21.1% in 2008 and 13.7% in 2009. For the 24 hour-management bundle, baseline compliance was 15.0%. After the intervention, compliance was 15.1% from May to December 2006, 21.4% in 2007, 27.8% in 2008 and 44.4% in 2009. The in-hospital mortality was 54.0% from July 2005 to April 2006, 41.1% from May to December 2006, 39.3% in 2007, 41.4% in 2008 and 16.2% in 2009.<h4>Conclusion</h4>These results suggest reducing SS and SSh patient mortality is a complex process that involves multiple performance measures and interventions.
format	article
author	Sandra Christina Pereira Lima Shiramizo Alexandre R Marra Marcelino S Durão Ângela T Paes Michael B Edmond Oscar Fernando Pavão dos Santos
author_facet	Sandra Christina Pereira Lima Shiramizo Alexandre R Marra Marcelino S Durão Ângela T Paes Michael B Edmond Oscar Fernando Pavão dos Santos
author_sort	Sandra Christina Pereira Lima Shiramizo
title	Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.
title_short	Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.
title_full	Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.
title_fullStr	Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.
title_full_unstemmed	Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.
title_sort	decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/6696a0332b4547beb8f60022c01b90f3
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Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting.

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