TY - JOUR
T1 - Epidemiology of sepsis in Colombian intensive care units
AU - Ortíz, Guillermo
AU - Dueñas, Carmelo
AU - Rodríguez, Ferney
AU - Barrera, Lena
AU - de La Rosa, Gisela
AU - Dennis, Rodolfo
AU - Granados, Marcela
AU - Londoño, Darío
AU - Molina, Francisco
AU - Jaimes, Fabián
PY - 2014
Y1 - 2014
N2 - Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America. Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients requiring admission to intensive care units in Colombia. Materials and methods: This was a secondary analysis of a prospective cohort study carried out over a six-month period, from September 1, 2007, to February 28, 2008, in ten medical/surgical intensive care units in four Colombian cities. Patients were considered eligible if they had a probable or confirmed diagnosis of infection according to medical records. We recorded demographic characteristics, first admission diagnosis and co-morbidities, clinical status, and sepsis, severe sepsis or septic shock. Results: During the study period, 826 patients were admitted to the intensive care units. From these patients, 421 (51%) developed sepsis in the community, 361 (44%) in the ICU, and 44 (5%) during hospitalization in the general ward. Two hundred and fifty three patients (30.6%) had involvement of one organ system: 20% had respiratory involvement, followed by kidney and central nervous system involvement with 3.4% and 2.7%, respectively. Conclusions: In our cohort of septic patients, the prevalence of sepsis treated in ICU is similar to that reported in other studies, as well as the overall mortality.
AB - Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America. Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients requiring admission to intensive care units in Colombia. Materials and methods: This was a secondary analysis of a prospective cohort study carried out over a six-month period, from September 1, 2007, to February 28, 2008, in ten medical/surgical intensive care units in four Colombian cities. Patients were considered eligible if they had a probable or confirmed diagnosis of infection according to medical records. We recorded demographic characteristics, first admission diagnosis and co-morbidities, clinical status, and sepsis, severe sepsis or septic shock. Results: During the study period, 826 patients were admitted to the intensive care units. From these patients, 421 (51%) developed sepsis in the community, 361 (44%) in the ICU, and 44 (5%) during hospitalization in the general ward. Two hundred and fifty three patients (30.6%) had involvement of one organ system: 20% had respiratory involvement, followed by kidney and central nervous system involvement with 3.4% and 2.7%, respectively. Conclusions: In our cohort of septic patients, the prevalence of sepsis treated in ICU is similar to that reported in other studies, as well as the overall mortality.
KW - Intensive care
KW - Sepsis/epidemiology
KW - Septic shock
UR - http://www.scopus.com/inward/record.url?scp=84901377291&partnerID=8YFLogxK
U2 - 10.7705/biomedica.v34i1.1439
DO - 10.7705/biomedica.v34i1.1439
M3 - Artículo en revista científica indexada
C2 - 24967858
AN - SCOPUS:84901377291
SN - 0120-4157
VL - 34
SP - 40
EP - 47
JO - Biomedica
JF - Biomedica
IS - 1
ER -