Outcomes of symptom assessment in patients with sepsis based on qSoFA, the sepsis six care bundle, and SOS score: A retrospective study
Keywords:
SOS score, qSOFA, retrospective study, community-acquired sepsis, the sepsis six care bundleAbstract
Sepsis causes life-threating organ dysfunction and leads to death. This retrospective descriptive study
in patients with community-acquired sepsis aimed to examine outcomes of symptom assessment in patients with sepsis based on the Quick Sepsis-Related Organ Failure Assessment (qSOFA), the sepsis six care bundle, and the search out severity (SOS) score. The concept of the Donabedian was applied to evaluate process and outcome. Data were purposive investigated retrospectively from 210 medical records between April 1, 2019 and March 31, 2020. A data record form, developed by the researcher, was used for data collection.
Results showed that average age of patients with community-acquired sepsis was 65.87 years. Majority of patients were older people (69.2 %) and had underlying disease (63.3%). Regarding process, 65.7% had patient screening for sepsis using qSOFA, 83.8% followed the sepsis six care bundle by taking blood culture before antibiotic therapy, all received broad-spectrum antibiotics and urinary catheterization (100%), 98.6% were given crystalloid solution 30 ml/kg within 1 hour, and 39.5% obtained blood pressure stimulants intravenously within 1 hour. Proportion of patients having SOS scores at admission in the internal medicine department of < 4 and ≥ 4 were 35.7% and 69.1%, respectively. Proportion of patients being monitored continuously were 22.4% and 10.8%, respectively. In relation to outcome, 60.5% had mean arterial pressure (MAP) ≥ 65mmHg and 35.7% had SOS score < 4. Mortality rate was 45.7% and mean length of stays was 4.6 days.
Suggestions: Assessment of symptom severity is useful in caring for patients with sepsis. Therefore, nurses should have knowledge and attitudes in assessing symptom changes and preventing critical conditions in patients with sepsis.
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