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Volume 17 Supplement 4

Sepsis 2013

  • Poster presentation
  • Open Access

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?

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Critical Care201317 (Suppl 4) :P56

  • Published:


  • Relative Risk
  • High Mortality
  • Septic Shock
  • Emergency Medicine
  • Early Treatment


Measures to ensure an appropriate early treatment for critically ill patients result in significant decreases in mortality [1, 2]. This study aims to evaluate the impact of the elapsed time between ICU request and actual admission of patients with SIRS/sepsis on ICU mortality and length of stay.

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.

Authors’ Affiliations

Hospital Santa Luzia, Brasília, Brazil
Escola Superior de Ciências da Saúde, Brasília, Brazil
Liga Acadêmica de Medicina Intensiva de Brasília, Brazil


  1. Amorim FF, Santana AR, Biondi RS, Amorim AP, Moura EB, Quadros KJ, Oliveira HS, Ribeiro RA: Difference in patient outcomes coming from public and private hospitals in an intensive care unit in Brazil. J Clin Med Res. 2012, 4: 410-414.PubMed CentralPubMedGoogle Scholar
  2. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M: Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001, 345: 1368-1377. 10.1056/NEJMoa010307.View ArticlePubMedGoogle Scholar


© de Moura et al.; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.