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Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open Access

Clinical outcomes of septic patients according to the elapsed time before transfer to the intensive care unit

  • 1,
  • 1,
  • 1,
  • 2 and
  • 1
Intensive Care Medicine Experimental20153 (Suppl 1) :A229

https://doi.org/10.1186/2197-425X-3-S1-A229

  • Published:

Keywords

  • Intensive Care Unit
  • Clinical Outcome
  • Septic Shock
  • Severe Sepsis
  • Clinical Improvement

Intr

Rapid response teams (RRT) are important systems for identifying patients requiring intensive car e[1]. Compliance with the process of care in sepsis can be increased by the activation of RRT, thereby reducing hospital mortality rate [2].

Objectives

To investigate the correlation between the clinical outcomes of septic patients and the elapsed time before transfer to the intensive care unit (ICU).

Methods

A retrospective descriptive study performed in a large hospital in São Paulo, Brazil, with all patients admitted to the ICU by RRT activation due to suspected sepsis, sepsis, severe sepsis or septic shock from January to December 2011.

Results

39 patients were attended by RRT 5 to 20 minutes after activation. Thirty patients (76.9%) were immediately transferred to the ICU. The elapsed time since assessment to transfer to the ICU ranged from 15 to 30 minutes (n = 5, 12.9%), 30 minutes to 1 hour (n = 15; 38.5%), 1 to 2 hours (n = 8, 20.5%) and ≥3 hours (n = 8, 20.5%). As for the clinical outcome in the ICU, 20 (51.3%) had a clinical improvement, 14 (35.9%) died and 5 (12.8%) had an initial clinical deterioration with subsequent improvement. Clinical improvement or initial deterioration with subsequent recovery occurred mainly among patients transferred to the ICU within 15 minutes to 3 hours. In patients transferred after 3 hours, death was the most frequent outcome.

Conclusions

The clinical outcomes of septic patients early transferred to the ICU are better than the outcomes of patients transferred later.

Authors’ Affiliations

(1)
Hospital Israelita Albert Einstein, São Paulo, Brazil
(2)
Universidade Federal de São Paulo, São Paulo, Brazil

References

  1. Jäderling G, Bell M, Martling C-R, Ekbom A, Bottai M, Konrad D: Admittance by a Rapid Response Team Versus Conventional Admittance, Characteristics, and Outcome. Critical Care Medicine. 2013, 41 (3): 725-31.PubMedView ArticleGoogle Scholar
  2. Schramm G, Kashyap R, Mullon JJ, Gajic O, Afessa B: Septic shock: A multidisciplinary response team and weekly feedback to clinicians improve the process of care and mortality. Critical Care Medicine. 2011, 39 (2): 252-8.PubMedView ArticleGoogle Scholar

Copyright

© Murata Murakami et al.; 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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