Elapsed time between ICU request and actual admission of patients with SIRS/sepsis leads to an increase in mortality or length of stay in this unit?
- Edmilson Bastos de Moura1,
- Fábio Ferreira Amorim2,
- Adriell Ramalho Santana2,
- Jaqueline Lima de Souza2,
- Felipe Bozi Soares2,
- Bárbara Magalhães Menezes2,
- Mariana Pinheiro Barbosa de Araújo2,
- Fernanda Vilas Bôas Bôas Araújo2,
- Louise Cristhine de Carvalho Santos2,
- Pedro Henrique Gomes Rocha2,
- Guilherme Menezes de Andrade Filho2,
- Thiago Alves Silva2,
- Pedro Nery Ferreira Júnior2,
- Alethea Patrícia Pontes Amorim3,
- José Aires de Araújo Neto1 and
- Marcelo de Oliveira Maia1
© de Moura et al.; licensee BioMed Central Ltd. 2013
Published: 5 November 2013
Materials and methods
Retrospective cohort study conducted in the ICU of Hospital Santa Luzia, Brasilia, DF, during 3 months. Patients being consecutively admitted to the ICU with diagnostic of SIRS/sepsis were divided into two groups: those with elapsed time between ICU request and admission less than 6 hours (short waiting period group (SWP)) or over 6 hours (long waiting period group (LWP)).
A total of 70 patients were enrolled (46% of admissions), 14 patients with SIRS, 27 with sepsis, 13 with severe sepsis and 17 with septic shock. For the entire cohort, the mean age was 61 ± 22 years, APACHE II was 12 ± 7.7, ICU length of stay was 15 ± 22.8 days, and 39 were male (54,9%). Thirty-five patients belonged to the LWP (50%). LWP patients had higher mortality (50% vs. 19.6%, P = 0.04), and longer ICU length of stay (13.6 ± 18.5 vs. 23.5 ± 40.7 days, P = 0.04). Relative risk for death in the LWP was 2.83 (95% CI: 1.28 to 6.28).
The elapsed time between ICU request and actual admission of patients with SIRS/sepsis over 6 hours resulted in increased ICU mortality and ICU length of stay for this group of patients.
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