Effect of Implementation of an Early Treatment of Sepsis Protocol on Surgical Outcomes. Issue 9 (September 2022)

• Record Type: Journal Article
• Authors: Wasfie, Tarik; Buzadzhi, Anna; Naisan, Mursal; Cataline, Chase; Ahmady, Ada; Wong, Victor; Hicken, Jared; Depuydt, Mikayla; Hella, Jennifer; Senger, Barbara; Barber, Kimberly
• Is Part Of: American surgeon. Volume 88:Issue 9(2022)
• Page Start: 2227
• Page End: 2229
• Publication Date: 2022-09
• Subjects: sepsis protocol -- mortality -- morbidity; Surgery -- Periodicals; Surgery -- United States -- Periodicals; 617.0973
• DOI: 10.1177/00031348221091971
• Languages: English
• ISSNs: 0003-1348

Abstract

Sepsis outcomes remain high regarding mortality and morbidity, despite efforts to reduce them. We retrospectively evaluated a protocol in the first 6 months of implementation to measure outcomes. Retrospective data collection and analysis was performed of 200 consecutive patients seen in the ED during the first 4 months of 2020 after implementation of the sepsis protocol (group 1) and compared to another 200 consecutive patients during the same time frame in 2019 before the sepsis protocol (group 2). The collected parameters included age, gender, race, length of stay comorbid conditions, mortality, and therapy received. Statistical significance was determined at a p-value ≤.05. Mean age and gender of the groups were similar, 64 vs 66 years for group 1 and 2, respectively. Each group was 45% male. Mean length of stay were 8.9 and 8.6 days in group 1 and 2, respectively. Group 1 had a mortality rate of 13% vs 18% in group 2 (p = .21). Comorbid conditions including cardiovascular disease, diabetes, renal failure, and COPD were analyzed regarding mortality that influenced outcomes using Cox regression analysis. COPD and diabetic patient mortality were significantly lower in the protocol group. Surgical patients had a survival rate of 92.4%. Therefore, the current protocol for sepsis management did improve mortality. Further studies with a larger number of patients are in progress.