Effect of a Sepsis Educational Intervention on Hospital Stay

8 páginas

Autores:: Fernández Sarmiento, Jaime
Carcillo, Joseph
Salinas, Claudia
Galvis, Edgar
López, Paula
Jagua Gualdrón, Andrés

Tipo de recurso:

Fecha de publicación:: 2018

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: eng

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spelling	Fernández Sarmiento, JaimeCarcillo, JosephSalinas, ClaudiaGalvis, EdgarLópez, PaulaJagua Gualdrón, Andrés8/26/2019 15:372019-08-26T20:37:43Z2018-06https://insights.ovid.com/pubmed?pmid=29543684http://hdl.handle.net/10818/3684510.1097/PCC.00000000000015368 páginasOBJECTIVES: To evaluate adherence to the sepsis bundle before and after an educational strategy and its impact on hospital stay. DESIGN: A prospective, analytic, before-and-after study of children with severe sepsis and septic shock who presented to the emergency department. SETTING: Carried out from January to December 2014 in the emergency department of a quaternary care hospital. PATIENTS: Of a total of 19,836 children who presented to the emergency department, 4,383 had an infectious pathology, with 203 of these showing severe sepsis and septic shock (124 pre intervention, and 79 post intervention). INTERVENTIONS: The healthcare providers caring for the patients in pediatric emergency received an educational intervention and an update on the bundle concepts proposed in 2010 by the Pediatric Advanced Life Support program of the American Heart Association and adapted by this study's investigators. MEASUREMENTS AND MAIN RESULTS: The main cause of sepsis in both groups was respiratory (59 vs 33; p = 0.72), without differences in the Pediatric Index of Mortality 2 score (7.23 vs 8.1; p = 0.23). The postintervention group showed a reduced hospital stay (11.6 vs 7.9 d; p = 0.01), a shorter time before ordering fluid boluses (247 vs 5 min; p = 0.001), the application of the first dose of antibiotic (343 vs 271 min; p = 0.03), and a decreased need for mechanical ventilation (20.1% vs 7.5%; p = 0.01). Postintervention adherence to the complete bundle was 19.2%, compared with the preintervention group, which was 27.7% (p = 0.17). CONCLUSIONS: Adherence to a bundle strategy is low following an educational intervention. However, when patients are managed after instruction in guideline recommendations, hospital stay may be significantly reduced.application/pdfengPediatric Critical Care MedicinePediatric Critical Care Medicine. 19(6):e321–e328, JUNE 2018Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaChildrenPatient care bundlesSepsisSeptic shockEffect of a Sepsis Educational Intervention on Hospital StayarticlepublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://intellectum.unisabana.edu.co/bitstream/10818/36845/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/36845/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD5310818/36845oai:intellectum.unisabana.edu.co:10818/368452022-05-10 05:19:02.339Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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
dc.title.es_CO.fl_str_mv	Effect of a Sepsis Educational Intervention on Hospital Stay
title	Effect of a Sepsis Educational Intervention on Hospital Stay
spellingShingle	Effect of a Sepsis Educational Intervention on Hospital Stay Children Patient care bundles Sepsis Septic shock
title_short	Effect of a Sepsis Educational Intervention on Hospital Stay
title_full	Effect of a Sepsis Educational Intervention on Hospital Stay
title_fullStr	Effect of a Sepsis Educational Intervention on Hospital Stay
title_full_unstemmed	Effect of a Sepsis Educational Intervention on Hospital Stay
title_sort	Effect of a Sepsis Educational Intervention on Hospital Stay
dc.creator.fl_str_mv	Fernández Sarmiento, Jaime Carcillo, Joseph Salinas, Claudia Galvis, Edgar López, Paula Jagua Gualdrón, Andrés
dc.contributor.author.none.fl_str_mv	Fernández Sarmiento, Jaime Carcillo, Joseph Salinas, Claudia Galvis, Edgar López, Paula Jagua Gualdrón, Andrés
dc.subject.es_CO.fl_str_mv	Children Patient care bundles Sepsis Septic shock
topic	Children Patient care bundles Sepsis Septic shock
description	8 páginas
publishDate	2018
dc.date.issued.none.fl_str_mv	2018-06
dc.date.available.none.fl_str_mv	2019-08-26T20:37:43Z
dc.date.accessioned.none.fl_str_mv	8/26/2019 15:37
dc.type.en.fl_str_mv	article
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dc.identifier.doi.none.fl_str_mv	10.1097/PCC.0000000000001536
url	https://insights.ovid.com/pubmed?pmid=29543684 http://hdl.handle.net/10818/36845
identifier_str_mv	10.1097/PCC.0000000000001536
dc.language.iso.es_CO.fl_str_mv	eng
language	eng
dc.relation.ispartofseries.none.fl_str_mv	Pediatric Critical Care Medicine. 19(6):e321–e328, JUNE 2018
dc.rights.*.fl_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International
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rights_invalid_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2
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dc.publisher.es_CO.fl_str_mv	Pediatric Critical Care Medicine
dc.source.es_CO.fl_str_mv	Universidad de La Sabana Intellectum Repositorio Universidad de La Sabana
institution	Universidad de la Sabana
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Effect of a Sepsis Educational Intervention on Hospital Stay

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