Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Sepsis Bundle Compliance and Mortality according to Body Temperature of Patients with Sepsis in General Wards Identified Using the Rapid Response System

신속대응체계로 확인된 병동 패혈증 환자의 체온군별 패혈증 번들 이행도와 사망률

  • Kang, Juwon (Medical Emergency Team, Asan Medical Center) ;
  • Choi, Hye-Ran (Department of Clinical Nursing, University of Ulsan)
  • 강주원 (서울아산병원 의료비상팀 ) ;
  • 최혜란 (울산대학교 의과대학 임상간호학전공)
  • Received : 2024.01.22
  • Accepted : 2024.07.04
  • Published : 2024.10.31
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Abstract

Purpose : This study aimed to investigate the difference in compliance with the sepsis bundle and mortality rates according to the body temperature of patients with sepsis in general wards identified using a rapid response system (RRS). Methods : A retrospective observational study of 1,083 patients with sepsis in general wards identified using the RRS from July 2018 to December 2022 was performed at a tertiary care hospital in South Korea. The patients were classified into hypothermia (<36℃), normothermia (36-38℃), and hyperthermia (>38℃) groups according to their body temperature at the time of RRS activation. Results : A total of 1,083 sepsis patients were analyzed, comprising 17 cases of hypothermia, 624 cases of normothermia, and 442 cases of hyperthermia. There were statistically significant differences among the body temperature groups in the rate of compliance with the sepsis bundle within 1 h (hypothermia: 64.7% vs. normothermia: 49.5% vs. hyperthermia: 60.4%, p =.010), the rate of compliance with the overall sepsis bundle, including lactate re-measurement (64.7% vs. 49.5% vs. 60.4%, p =.001), and the rate of blood culture testing (94.1% vs. 85.9% vs. 92.8%, p =.002). The 28-day mortality rates in the hypothermia, normothermia, and hyperthermia groups were 29.4%, 32.4%, and 16.5%, respectively (p <.001). Conclusion : There were statistically significant differences in compliance with the sepsis bundle and mortality rates according to body temperature. Patients with sepsis and normothermia showed lower compliance with the sepsis bundle and higher mortality rates. Therefore, it is recommended to develop strategies for the early recognition of patients with sepsis and normothermia and to improve compliance with the sepsis bundle.

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References

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