Incidence, organ dysfunction and mortality in severe sepsis: a Spanish multicentre study
2008

Incidence and Outcomes of Severe Sepsis in Spain

Sample size: 2619 publication Evidence: high

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)

10.1186/cc7157

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