The Outcome of Management in Sepsis and Septic Shock Patient Who Admitted to an Emergency Department at Jainad Narendra Hospital: 6-Months Retrospective Observational Cohort Study

Abstract

Sepsis and septic shock are life-threatening conditions and a major public health problem worldwide. This retrospective cohort study aimed to study the outcomes of management for patients with sepsis and septic shock in the emergency department (ED) at Jainad Narendra Hospital. The sample consisted of 227 patients with sepsis and septic shock who received care in the ED. They were selected using a purposive sampling method. The research instruments were the data recording form, including the personal information and treatment received, and the management outcomes form. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. The research findings revealed that the average time from patient arrival at the ED to diagnosis was significantly longer than the established criteria of 15 minutes at the .05 significance level (mean=27.06, SD=35.95, median=15.00), while the average time from diagnosis to the administration of antibiotics was significantly different from the established criteria of 60 minutes at the .05 significance level (mean=32.79, SD=28.17, median=25.00). Additionally, 74.01% of the patients received intravenous fluid within 3 hours, 7.49% received vasopressor medication, and 72.20% were treated in the ED within 2 hours. These measures contributed to a survival rate of 79.70%. The findings of this study indicate that certain aspects of the care process for patients with infections and septic shock in the emergency department may still require improvement, such as the screening and initial assessment, in order to facilitate faster diagnosis and treatment. Such improvements could help increase the survival rate of patients.