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Gaceta médica de México
On-line version ISSN 2696-1288Print version ISSN 0016-3813
Abstract
GORORDO-DELSOL, Luis A. et al. Sepsis and septic shock in emergency departments of Mexico: a multicenter point-prevalence study. Gac. Méd. Méx [online]. 2020, vol.156, n.6, pp.495-501. Epub May 27, 2021. ISSN 2696-1288. https://doi.org/10.24875/gmm.19005468.
Introduction:
Sepsis is one of the main reasons for consultation at emergency departments.
Objective:
To identify the prevalence of sepsis in emergency departments of Mexico.
Method:
Cross-sectional study with a 30-day follow-up of patients diagnosed with sepsis or septic shock; demographic variables, management and outcomes were analyzed.
Results:
In 68 emergency departments analyzed, 2379 patients were attended to, out of whom 307 had sepsis. The prevalence of sepsis was 12.9 %, and overall mortality was 16.93 %, which in the cases of sepsis was 9.39 %, and in those of septic shock, 65.85 %; no significant differences were identified in demographic variables or type of hospital. A significantly higher fluid balance was observed within the first three hours in those patients who died, as well as a lack of adherence to international resuscitation recommendations.
Conclusions:
A high prevalence of sepsis was found in Mexican emergency departments. Mortality of patients with septic shock was similar and even higher than that internationally reported.
Keywords : Sepsis; Hospital emergency department; Epidemiology.