dc.contributor.author | Torsvik, Malvin | |
dc.contributor.author | Gustad, Lise | |
dc.contributor.author | Mehl, Arne | |
dc.contributor.author | Bangstad, Inger Lise | |
dc.contributor.author | Vinje, Liv Jorun | |
dc.contributor.author | Damås, Jan Kristian | |
dc.contributor.author | Solligård, Erik | |
dc.date.accessioned | 2017-02-10T12:44:18Z | |
dc.date.available | 2017-02-10T12:44:18Z | |
dc.date.created | 2016-08-08T13:43:59Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Critical Care. 2016, 20:244 (1), 1-9. | nb_NO |
dc.identifier.issn | 1466-609X | |
dc.identifier.uri | http://hdl.handle.net/11250/2430277 | |
dc.description.abstract | Background: Systemic inflammatory response syndrome (SIRS) and sepsis are now frequently identified by observations of vital signs and detection of organ failure during triage in the emergency room. However, there is less focus on the effect on patient outcome with better observation and treatment at the ward level. Methods: This was a before-and-after intervention study in one emergency and community hospital within the Mid-Norway Sepsis Study catchment area. All patients with confirmed bloodstream infection have been prospectively registered continuously since 1994. Severity of sepsis, observation frequency of vital signs, treatment data, length of stay (LOS) in high dependency and intensive care units, and mortality were retrospectively registered from the patients’ medical journals. Results: The post-intervention group (n = 409) were observed better and had higher odds of surviving 30 days (OR 2.7, 95 % CI 1.6, 4.6), lower probability of developing severe organ failure (0.7, 95 % CI 0.4, 0.9), and on average, 3.7 days (95 % CI 1.5, 5.9 days) shorter LOS than the pre-intervention group (n = 472). Conclusions: In a cohort with stable mortality rates, early sepsis recognition by ward nurses may have reduced progression of disease and improved survival for patients in hospital with sepsis. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | BioMed Central | nb_NO |
dc.relation.uri | https://ccforum.biomedcentral.com/articles/10.1186/s13054-016-1423-1 | |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.subject | Sepsis | nb_NO |
dc.title | Early identification of sepsis in hospital inpatients by ward nurses increases 30-day survival | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.subject.nsi | VDP::Medisinske fag: 700 | nb_NO |
dc.subject.nsi | VDP::Midical sciences: 700 | nb_NO |
dc.source.pagenumber | 1-9 | nb_NO |
dc.source.volume | 20:244 | nb_NO |
dc.source.journal | Critical Care | nb_NO |
dc.source.issue | 1 | nb_NO |
dc.identifier.doi | 10.1186/s13054-016-1423-1 | |
dc.identifier.cristin | 1371160 | |
dc.relation.project | Norges forskningsråd: 223255 | nb_NO |
dc.description.localcode | © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | nb_NO |
cristin.unitcode | 194,65,30,0 | |
cristin.unitcode | 194,65,0,0 | |
cristin.unitcode | 194,65,15,0 | |
cristin.unitcode | 194,65,15,30 | |
cristin.unitcode | 194,65,25,0 | |
cristin.unitname | Institutt for nevromedisin | |
cristin.unitname | Det medisinske fakultet | |
cristin.unitname | Institutt for kreftforskning og molekylær medisin | |
cristin.unitname | Centre of Molecular Inflammation Research (SFF-CEMIR) | |
cristin.unitname | Institutt for sirkulasjon og bildediagnostikk | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |