To browse Academia. Introduction: SIRS and sepsis is easily identified with observation of vital signs and organ failure, but there is little focus on the effect of better observation and treatment for outcome in patients with suspected infection cared for at the ward level. Methods:A before and after intervention study in one emergency and community hospital within the Mid-Norway sepsis study catchment area.
All patients with confirmed blood stream infection BSI and evidence of sepsis have been prospectively registered continuously since The severity of sepsis, observation frequency of vital signs, treatment data, LOS and mortality were retrospectively registered from the patients' medical journals until end The nurses' observation frequency of vital signs increased in BSI patients with and without severe organ failure comparing these periods.
The post-intervention group had, in average, 2. Patients admitted without severe organ failure in the post-intervention group had a lower probability of developing severe organ failure 0. Adjusted for differences in disease severity the post-intervention group also had higher odds of surviving 30 days OR 2. Conclusion:A sepsis specific triage-, flow chart alert and treatment system was an effective tool to increase ward nurses recognition and early treatment of patients with confirmed BSI.
In addition to increased survival, the shorter LOS is important from a hospital perspective in term of resource utilization. Background: Systemic inflammatory response syndrome SIRS and sepsis are now frequently identified by observations of vital signs and detection of organ failure during triage in the emergency room.
However, there is less focus on the effect on patient outcome with better observation and treatment at the ward level. Methods: This was a before-and-after intervention study in one emergency and community hospital within the Mid-Norway Sepsis Study catchment area.
