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dc.contributor.authorTorsvik, Malvin
dc.contributor.authorGustad, Lise
dc.contributor.authorMehl, Arne
dc.contributor.authorBangstad, Inger Lise
dc.contributor.authorVinje, Liv Jorun
dc.contributor.authorDamås, Jan Kristian
dc.contributor.authorSolligård, Erik
dc.date.accessioned2017-02-10T12:44:18Z
dc.date.available2017-02-10T12:44:18Z
dc.date.created2016-08-08T13:43:59Z
dc.date.issued2016
dc.identifier.citationCritical Care. 2016, 20:244 (1), 1-9.nb_NO
dc.identifier.issn1466-609X
dc.identifier.urihttp://hdl.handle.net/11250/2430277
dc.description.abstractBackground: 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.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.relation.urihttps://ccforum.biomedcentral.com/articles/10.1186/s13054-016-1423-1
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectSepsisnb_NO
dc.titleEarly identification of sepsis in hospital inpatients by ward nurses increases 30-day survivalnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.subject.nsiVDP::Medisinske fag: 700nb_NO
dc.subject.nsiVDP::Midical sciences: 700nb_NO
dc.source.pagenumber1-9nb_NO
dc.source.volume20:244nb_NO
dc.source.journalCritical Carenb_NO
dc.source.issue1nb_NO
dc.identifier.doi10.1186/s13054-016-1423-1
dc.identifier.cristin1371160
dc.relation.projectNorges forskningsråd: 223255nb_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.unitcode194,65,30,0
cristin.unitcode194,65,0,0
cristin.unitcode194,65,15,0
cristin.unitcode194,65,15,30
cristin.unitcode194,65,25,0
cristin.unitnameInstitutt for nevromedisin
cristin.unitnameDet medisinske fakultet
cristin.unitnameInstitutt for kreftforskning og molekylær medisin
cristin.unitnameCentre of Molecular Inflammation Research (SFF-CEMIR)
cristin.unitnameInstitutt for sirkulasjon og bildediagnostikk
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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