Abstract
Objective:
To characterize the clinical aspects, severity and mortality of sepsis patients treated in the urgency and emergency departments of a tertiary hospital, relating them to the health services of origin, where initial care was performed.
Methods:
Cross-sectional, quantitative study with sepsis patients, treated in the urgency and emergency departments of a tertiary university hospital.
Results:
Of the 225 eligible patients, 115 (51.1%) were hospitalized with sepsis; of these, 63.5% were referred from other services. Among patients from other services, the development of septic shock and the need for mechanical ventilation was significantly more frequent. Patients admitted to the sepsis study hospital had greater adherence to the 3-hour package of the Surviving Sepsis Campaining-2016. There was no difference between the mortality of those admitted for having sepsis and those who developed sepsis in the study hospital. However, 60.4% of the patients died, 63.2% of whom came from other services.
Conclusion:
More than half of the patients hospitalized with sepsis come from other health services. they presented a greater degree of severity and required more therapeutic interventions. However, there was no difference in mortality rates.
Keywords
Sepsis; Protocols; Health services; Emergency service; hospital; Mortality
