The impact of compliance with Surviving Sepsis Campaign Guideline 2018 on hospital mortality in patients with sepsis and septic shock

Abstract

Objective : Sepsis and Septic shock are the main public health problems and are on top of fatality rate in hospitals, what applied remedy practice guidelines for patients called Surviving Sepsis Campaign Guideline, which these directions are developed and most recently reviewed in 2018. From previous studying shows that practice for Surviving Sepsis Campaign 2004-2012 was able to reduce the fatality rate from Sepsis and Septic shock. Objectives to study practicing rate for Surviving Sepsis Campaign 2018 compares fatality rate in hospitals, between patients group who treated with completed Surviving Sepsis Campaign 2018 and patients group who treated with incomplete Surviving Sepsis Campaign 2018

Materials and methods : This study was to be compiling and collecting retroactive data from In Patient Medical Record with Sepsis and Septic shock treated at Intensive Care Unit from October 2018 to September 2019, separated to 2 groups, the first group is who treated with complete Surviving Sepsis Campaign 2018, second group is who treated with incomplete Surviving Sepsis Campaign 2018, analyses the general information, compares the fatality rate in hospital between two groups.

Results : From impact studies found that from patients treated in Intensive Care Unit total 785 patients, found the patients who are qualified with sepsis or septic shock criteria amount 110 patients (14%), are group of who treated with complete Surviving Sepsis Campaign 2018 amount 20 patients (18.2%) and group of who treated with incomplete Surviving Sepsis Campaign 2018 amount 90 patients (81.2%), both two groups’ qualifications are sex, congenital disease, infectious source and SOFA score are not different. Finding out that the culture blood before giving on antibiotics is 99.1%, lactate testing for an hour is 63.6%, initially giving on antibiotics for an hour is 85.5%, starting to give on iv fluid for an hour is 81.8%, starting to giving on Vasopressors for an hour is 29.1%. Finding out that fatality rate of treating with complete Surviving Sepsis Campaign 2018 patients group is 15%, treating with incomplete Surviving Sepsis Campaign 2018 patients group is 22.2%.

Conclusion : Fatality rate of treating with complete Surviving Sepsis Campaign 2018 patients group is less than fatality rate of treating with incomplete Surviving Sepsis Campaign 2018 patients group is less than, however there is not different significantly.