Matches in SemOpenAlex for { <https://semopenalex.org/work/W2626432801> ?p ?o ?g. }
- W2626432801 endingPage "1259" @default.
- W2626432801 startingPage "1253" @default.
- W2626432801 abstract "The impact on patient survival of an infectious disease (ID) team dedicated to the early management of severe sepsis/septic shock (SS/SS) in Emergency Department (ED) has yet to be assessed. A quasiexperimental pre–post study was performed at the general ED of our hospital. During the pre phase (June 2013–July 2014), all consecutive adult patients with SS/SS were managed according to the standard of care, data were prospectively collected. During the post phase (August 2014–October 2015), patients were managed in collaboration with a dedicated ID team performing a bedside patient evaluation within 1 hour of ED arrival. Overall, 382 patients were included, 195 in the pre phase and 187 in the post phase. Median age was 82 years (interquartile range, 70–88). The most common infection sources were lung (43%) and urinary tract (17%); in 22% of cases, infection source remained unknown. During the post phase, overall compliance with the Surviving Sepsis Campaign (SSC) bundle and appropriateness of initial antibiotic therapy improved from 4.6% to 32% (P < .001) and from 30% to 79% (P < .001), respectively. Multivariate analysis showed that predictors of all-cause 14-day mortality were quick sepsis-related organ failure assessment ≥2 (hazard ratio [HR], 1.68; 95% confidence interval [CI], 1.15–2.45; P = .007), serum lactate ≥2 mmol/L (HR, 2.13; 95% CI, 1.39–3.25; P < .001), and unknown infection source (HR, 2.07; 95% CI, 1.42–3.02; P < .001); being attended during the post phase was a protective factor (HR, 0.64; 95% CI, 0.43–0.94; P = .026). Implementation of an ID team for the early management of SS/SS in the ED improved the adherence to SSC recommendations and patient survival." @default.
- W2626432801 created "2017-06-23" @default.
- W2626432801 creator A5005390430 @default.
- W2626432801 creator A5010982417 @default.
- W2626432801 creator A5011218449 @default.
- W2626432801 creator A5011263778 @default.
- W2626432801 creator A5015161896 @default.
- W2626432801 creator A5019749001 @default.
- W2626432801 creator A5025367866 @default.
- W2626432801 creator A5031466649 @default.
- W2626432801 creator A5034544385 @default.
- W2626432801 creator A5036277972 @default.
- W2626432801 creator A5037289672 @default.
- W2626432801 creator A5042900908 @default.
- W2626432801 creator A5043282504 @default.
- W2626432801 creator A5045135007 @default.
- W2626432801 creator A5045599121 @default.
- W2626432801 creator A5061691353 @default.
- W2626432801 creator A5066168565 @default.
- W2626432801 creator A5071164558 @default.
- W2626432801 creator A5086675423 @default.
- W2626432801 creator A5087457265 @default.
- W2626432801 creator A5090662904 @default.
- W2626432801 date "2017-06-12" @default.
- W2626432801 modified "2023-10-06" @default.
- W2626432801 title "Infectious Diseases Team for the Early Management of Severe Sepsis and Septic Shock in the Emergency Department" @default.
- W2626432801 cites W1176819673 @default.
- W2626432801 cites W1581640148 @default.
- W2626432801 cites W1965040899 @default.
- W2626432801 cites W1980002786 @default.
- W2626432801 cites W1993397663 @default.
- W2626432801 cites W1993440563 @default.
- W2626432801 cites W1995887867 @default.
- W2626432801 cites W2004504528 @default.
- W2626432801 cites W2006959798 @default.
- W2626432801 cites W2016944770 @default.
- W2626432801 cites W2039251546 @default.
- W2626432801 cites W2069674109 @default.
- W2626432801 cites W2081374193 @default.
- W2626432801 cites W2092802285 @default.
- W2626432801 cites W2095497639 @default.
- W2626432801 cites W2098019283 @default.
- W2626432801 cites W2098572294 @default.
- W2626432801 cites W2101071089 @default.
- W2626432801 cites W2103053257 @default.
- W2626432801 cites W2104415072 @default.
- W2626432801 cites W2105935672 @default.
- W2626432801 cites W2106534536 @default.
- W2626432801 cites W2108661760 @default.
- W2626432801 cites W2115806935 @default.
- W2626432801 cites W2135645423 @default.
- W2626432801 cites W2144852596 @default.
- W2626432801 cites W2145128588 @default.
- W2626432801 cites W2146659575 @default.
- W2626432801 cites W2165721969 @default.
- W2626432801 cites W2280404143 @default.
- W2626432801 cites W2315642910 @default.
- W2626432801 cites W2337544276 @default.
- W2626432801 cites W2442246762 @default.
- W2626432801 cites W2514492241 @default.
- W2626432801 cites W771907615 @default.
- W2626432801 doi "https://doi.org/10.1093/cid/cix548" @default.
- W2626432801 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28605525" @default.
- W2626432801 hasPublicationYear "2017" @default.
- W2626432801 type Work @default.
- W2626432801 sameAs 2626432801 @default.
- W2626432801 citedByCount "44" @default.
- W2626432801 countsByYear W26264328012018 @default.
- W2626432801 countsByYear W26264328012019 @default.
- W2626432801 countsByYear W26264328012020 @default.
- W2626432801 countsByYear W26264328012021 @default.
- W2626432801 countsByYear W26264328012022 @default.
- W2626432801 countsByYear W26264328012023 @default.
- W2626432801 crossrefType "journal-article" @default.
- W2626432801 hasAuthorship W2626432801A5005390430 @default.
- W2626432801 hasAuthorship W2626432801A5010982417 @default.
- W2626432801 hasAuthorship W2626432801A5011218449 @default.
- W2626432801 hasAuthorship W2626432801A5011263778 @default.
- W2626432801 hasAuthorship W2626432801A5015161896 @default.
- W2626432801 hasAuthorship W2626432801A5019749001 @default.
- W2626432801 hasAuthorship W2626432801A5025367866 @default.
- W2626432801 hasAuthorship W2626432801A5031466649 @default.
- W2626432801 hasAuthorship W2626432801A5034544385 @default.
- W2626432801 hasAuthorship W2626432801A5036277972 @default.
- W2626432801 hasAuthorship W2626432801A5037289672 @default.
- W2626432801 hasAuthorship W2626432801A5042900908 @default.
- W2626432801 hasAuthorship W2626432801A5043282504 @default.
- W2626432801 hasAuthorship W2626432801A5045135007 @default.
- W2626432801 hasAuthorship W2626432801A5045599121 @default.
- W2626432801 hasAuthorship W2626432801A5061691353 @default.
- W2626432801 hasAuthorship W2626432801A5066168565 @default.
- W2626432801 hasAuthorship W2626432801A5071164558 @default.
- W2626432801 hasAuthorship W2626432801A5086675423 @default.
- W2626432801 hasAuthorship W2626432801A5087457265 @default.
- W2626432801 hasAuthorship W2626432801A5090662904 @default.
- W2626432801 hasBestOaLocation W26264328011 @default.
- W2626432801 hasConcept C118552586 @default.
- W2626432801 hasConcept C119060515 @default.