Incidence and Outcomes of Severe Sepsis in Spain
Author Information
Author(s): Blanco Jesús, Muriel-Bombín Arturo, Sagredo Víctor, Taboada Francisco, Gandía Francisco, Tamayo Luís, Collado Javier, García-Labattut Ángel, Carriedo Demetrio, Valledor Manuel, De Frutos Martín, López María-Jesús, Caballero Ana, Guerra José, Álvarez Braulio, Mayo Agustín, Villar Jesús
Primary Institution: Critical Care Department, Nuevo Hospital Universitario Río Hortega, Valladolid, Spain
Hypothesis
What is the incidence of severe sepsis among adults in ICUs in Spain and what are the associated mortality rates?
Conclusion
The study found a high incidence of severe sepsis in the ICU and high mortality rates, indicating potential delays in diagnosis and treatment.
Supporting Evidence
- The estimated accumulated incidence for the population was 25 cases of severe sepsis per 100,000 inhabitants per year.
- 54.3% of patients died in the hospital, with 48.2% of these deaths occurring in the ICU.
- 78.1% of patients had two or more organ failures at diagnosis.
Takeaway
This study looked at how many people get very sick from sepsis in hospitals in Spain and found that a lot of them die, especially if they have other health problems.
Methodology
A prospective, observational, multicentre cohort study conducted over two 3-month periods in 2002.
Potential Biases
Potential bias due to the lack of independent data monitoring and reliance on self-reported data from participating hospitals.
Limitations
The study may not be generalizable to all populations due to its specific geographical focus and the absence of external monitoring.
Participant Demographics
{"age":{"median":68,"range":"54.9 to 74.5"},"sex":{"male":66.9,"female":33.1}}
Statistical Information
Confidence Interval
{"mortality":"95% CI 48.6 to 60.0"}
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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