Process and outcome of management for orthopedic patients with sepsis

Insook P; Wangsrikhun S; Sukonthasarn A

Authors

Insook P Nursing Department, Faculty of Medicine, Chiang Mai University, Thailand
Wangsrikhun S Faculty of Nursing, Chiang Mai University, Thailand
Sukonthasarn A Faculty of Nursing, Chiang Mai University, Thailand

Keywords:

Process, Outcome, Orthopedic patients, Management of Sepsis

Abstract

Objectives To analyze the management process and outcomes of orthopedic patients diagnosed with sepsis.

Methods This retrospective descriptive study included the medical records 275 orthopedics patients with sepsis from January 2017 to December 2019. Data collection was done using the Management Situation for Orthopedic Patients with Sepsis Record Form. Descriptive statistics were used for data analysis.

Results Within 3 hours after being diagnosed with sepsis, the following management process occurred: 82.90% of the samples had blood collected for culturing before antibiotic administration, 31.27% received broad-spectrum antibiotics, 15.63% had serum lactate measurement and the 50.00% of the patients requiring fluid resuscitation (n=56) received initial fluid resuscitation. Within 6 hours following diagnosis, the 32.07% of the sample requiring vasopressors (n=53) received them. Of the patients in the study, 13.18% developed septic shock and the overall mortality rate was 18.19% (n=50).

Conclusions There are opportunities for improvement of the management process for orthopedic patients with sepsis. Improvements in the quality of the management process could lead to better outcomes.

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