The Association of Length of Stay in The Emergency Department and Survival Proportion among Sepsis Patients
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Abstract
BACKGROUND: Patients with sepsis (bloodstream infections) are semi-critically ill patients, and without timely treatment their mortality rate will rise. One of the many factors that impede prompt treatment is the length of the waiting time in the emergency room. It is important to study whether the waiting period in the emergency room will affect the survival rate of patients with sepsis.
OBJECTIVES: To find the relationship between length of stay in the emergency department and the survival proportion among sepsis patients and other associated factors.
METHODS: This study is a retrospective cohort study which was from collected data among 318 patients with sepsis. By comparing the survival proportions of patients with sepsis with a waiting period in the emergency room of not more than 24 hours and more than 24 hours but not more than 72 hours when they returned home 30 days after admission, the data were analyzed statistically to determine the relationship.
RESULTS: The waiting times in the emergency room (24 hours, more than 24 hours but not more than 72 hours, when discharged 30 days after admission) did not affect the survival rate of the infected patients (p = 0.41, 0.72, 0.25 and 0.11). In addition, it was found that the multiple organ dysfunction or failure (p < 0.001: Adjusted OR = 9.987: 95%CI 2.97 - 33.55) and low blood pressure caused by sepsis (p = 0.02: Adjusted OR = 4.1: 95%CI 1.24 - 13.54) were significantly related to the survival proportion.
CONCLUSIONS: The waiting time in the emergency room did not affect the survival proportion of patients with sepsis. Factors to be considered for this group of patients because they affect the survival rate of patients with sepsis were the blood pressure and multi-system failure, which can both be used to predict the survival rate of patients with sepsis.
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References
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