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Effect of a Sepsis Educational Intervention on Hospital Stay

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dc.creatorFernández-Sarmiento J.spa
dc.creatorCarcillo J.A.spa
dc.creatorSalinas C.M.spa
dc.creatorGalvis E.F.spa
dc.creatorLópez P.A.spa
dc.creatorJagua-Gualdrón A.spa
dc.date.accessioned2020-05-25T23:57:56Z
dc.date.available2020-05-25T23:57:56Z
dc.date.created2018spa
dc.description.abstractObjectives: 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. © 2018 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1097/PCC.0000000000001536
dc.identifier.issn15297535
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22773
dc.language.isoengspa
dc.publisherLippincott Williams and Wilkinsspa
dc.relation.citationEndPagee328
dc.relation.citationIssueNo. 6
dc.relation.citationStartPagee321
dc.relation.citationTitlePediatric Critical Care Medicine
dc.relation.citationVolumeVol. 19
dc.relation.ispartofPediatric Critical Care Medicine, ISSN:15297535, Vol.19, No.6 (2018); pp. e321-e328spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85053939896&doi=10.1097%2fPCC.0000000000001536&partnerID=40&md5=09552dc7c23f230bab6b2f4936ff5851spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAntibiotic agentspa
dc.subject.keywordAntibiotic therapyspa
dc.subject.keywordcontinuingeng
dc.subject.keywordArticlespa
dc.subject.keywordArtificial ventilationspa
dc.subject.keywordBody heightspa
dc.subject.keywordBody massspa
dc.subject.keywordCare bundlespa
dc.subject.keywordChildspa
dc.subject.keywordChildhood diseasespa
dc.subject.keywordClinical evaluationspa
dc.subject.keywordClinical outcomespa
dc.subject.keywordCrystalloidspa
dc.subject.keywordDisease severityspa
dc.subject.keywordEducation programspa
dc.subject.keywordEmergency carespa
dc.subject.keywordEmergency wardspa
dc.subject.keywordFemalespa
dc.subject.keywordFluid resuscitationspa
dc.subject.keywordFluid therapyspa
dc.subject.keywordHealth care personnelspa
dc.subject.keywordHeart ratespa
dc.subject.keywordHospital mortalityspa
dc.subject.keywordHospitalizationspa
dc.subject.keywordHumanspa
dc.subject.keywordIntensive carespa
dc.subject.keywordKidney functionspa
dc.subject.keywordLiver functionspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMedical orderspa
dc.subject.keywordMedical societyspa
dc.subject.keywordMultiple organ failurespa
dc.subject.keywordPatient carespa
dc.subject.keywordPatient compliancespa
dc.subject.keywordPatient selectionspa
dc.subject.keywordPediatric advanced life supportspa
dc.subject.keywordPediatric patientspa
dc.subject.keywordPreschool childspa
dc.subject.keywordPriority journalspa
dc.subject.keywordProspective studyspa
dc.subject.keywordRespiratory functionspa
dc.subject.keywordResuscitationspa
dc.subject.keywordSepsisspa
dc.subject.keywordSeptic shockspa
dc.subject.keywordEducationspa
dc.subject.keywordLength of stayspa
dc.subject.keywordMedical educationspa
dc.subject.keywordMortalityspa
dc.subject.keywordProceduresspa
dc.subject.keywordProtocol compliancespa
dc.subject.keywordSepsisspa
dc.subject.keywordStatistics and numerical dataspa
dc.subject.keywordChildspa
dc.subject.keywordChildeng
dc.subject.keywordEducationeng
dc.subject.keywordFemalespa
dc.subject.keywordGuideline adherencespa
dc.subject.keywordHealth personnelspa
dc.subject.keywordHospital mortalityspa
dc.subject.keywordHumansspa
dc.subject.keywordLength of stayspa
dc.subject.keywordMalespa
dc.subject.keywordProspective studiesspa
dc.subject.keywordSepsisspa
dc.subject.keywordChildrenspa
dc.subject.keywordPatient care bundlesspa
dc.subject.keywordSepsisspa
dc.subject.keywordSeptic shockspa
dc.titleEffect of a Sepsis Educational Intervention on Hospital Stayspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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