Current situation of sepsis care in Spanish emergency departments

Objective. To describe the approach to the patients with suspected sepsis in the Spanish emergency department hospitals (ED) and analyze whether there are differences according to the size of the hospital and the number of visits to the emergency room. Method. Structured survey of those responsible...

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Autores: Llopis Roca, Ferran, López Izquierdo, Raúl, Miró i Andreu, Òscar, García Lamberechts, Eric Jorge, Julián Jiménez, Agustín, González del Castillo, Juan
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/193880
Acceso en línea:https://hdl.handle.net/2445/193880
Access Level:acceso abierto
Palabra clave:Septicèmia
Serveis d'urgències mèdiques
Espanya
Septicemia
Emergency medical services
Spain
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spelling Current situation of sepsis care in Spanish emergency departmentsLlopis Roca, FerranLópez Izquierdo, RaúlMiró i Andreu, ÒscarGarcía Lamberechts, Eric JorgeJulián Jiménez, AgustínGonzález del Castillo, JuanSepticèmiaServeis d'urgències mèdiquesEspanyaSepticemiaEmergency medical servicesSpainObjective. To describe the approach to the patients with suspected sepsis in the Spanish emergency department hospitals (ED) and analyze whether there are differences according to the size of the hospital and the number of visits to the emergency room. Method. Structured survey of those responsible for the 282 public EDs that serve adults 24 hours a day, 365 days a year. It was asked about assistance and management in the emergency room in the care of patients with suspected sepsis. The results are compared according to hospital size (large = 500 beds vs medium-small <500) and influx to the emergency room (discharge = 200 visits / day vs medium-low <200). Results. A total of 250 Spanish EDs responded (89%). Sepsis protocols are available in 163 (65%) EDs median weekly sepsis treated ranged from 0-5 per week in 39 (71%) ED, 6-10 per week in 10 (18%), 11-15 per week in 4 (7%), and more than 15 activations per week in 3 centers (3.6%). The criteria used for sepsis diagnosis were the qSOFA/SOFA in 105 (63.6%) of the hospitals, SIRS in 6 (3.6%), while in 49 (29.7%) they used both criteria simultaneously. In 79 centers, the sepsis diagnosis was computerized, and in 56 there were tools to help decision-making. 48% (79 of 163) of the EDs had data on bundles compliance. In 61% (99 of 163) of EDs there was training in sepsis and in 56% (55 of 99) it was periodic. Considering the size of the hospital, large hospitals participated more frequently as recipients of patients with sepsis and had an infectious, sepsis and short-stay unit, a microbiologist and infectious disease specialist on duty. Conclusion. Most EDs have sepsis protocols, but there is room for improvement. The computerization and development of alerts for diagnosis and treatment still have a long way to go in EDs.Sociedad Espanola de Quimioterapia2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/193880Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.37201/req/150.2021Revista Española de Quimioterapia, 2022, vol. 35, num. 2, p. 192-203https://doi.org/10.37201/req/150.2021cc by-nc (c) Llopis Roca, Ferrán et al., 2022http://creativecommons.org/licenses/by-nc/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1938802026-05-27T06:46:51Z
dc.title.none.fl_str_mv Current situation of sepsis care in Spanish emergency departments
title Current situation of sepsis care in Spanish emergency departments
spellingShingle Current situation of sepsis care in Spanish emergency departments
Llopis Roca, Ferran
Septicèmia
Serveis d'urgències mèdiques
Espanya
Septicemia
Emergency medical services
Spain
title_short Current situation of sepsis care in Spanish emergency departments
title_full Current situation of sepsis care in Spanish emergency departments
title_fullStr Current situation of sepsis care in Spanish emergency departments
title_full_unstemmed Current situation of sepsis care in Spanish emergency departments
title_sort Current situation of sepsis care in Spanish emergency departments
dc.creator.none.fl_str_mv Llopis Roca, Ferran
López Izquierdo, Raúl
Miró i Andreu, Òscar
García Lamberechts, Eric Jorge
Julián Jiménez, Agustín
González del Castillo, Juan
author Llopis Roca, Ferran
author_facet Llopis Roca, Ferran
López Izquierdo, Raúl
Miró i Andreu, Òscar
García Lamberechts, Eric Jorge
Julián Jiménez, Agustín
González del Castillo, Juan
author_role author
author2 López Izquierdo, Raúl
Miró i Andreu, Òscar
García Lamberechts, Eric Jorge
Julián Jiménez, Agustín
González del Castillo, Juan
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Septicèmia
Serveis d'urgències mèdiques
Espanya
Septicemia
Emergency medical services
Spain
topic Septicèmia
Serveis d'urgències mèdiques
Espanya
Septicemia
Emergency medical services
Spain
description Objective. To describe the approach to the patients with suspected sepsis in the Spanish emergency department hospitals (ED) and analyze whether there are differences according to the size of the hospital and the number of visits to the emergency room. Method. Structured survey of those responsible for the 282 public EDs that serve adults 24 hours a day, 365 days a year. It was asked about assistance and management in the emergency room in the care of patients with suspected sepsis. The results are compared according to hospital size (large = 500 beds vs medium-small <500) and influx to the emergency room (discharge = 200 visits / day vs medium-low <200). Results. A total of 250 Spanish EDs responded (89%). Sepsis protocols are available in 163 (65%) EDs median weekly sepsis treated ranged from 0-5 per week in 39 (71%) ED, 6-10 per week in 10 (18%), 11-15 per week in 4 (7%), and more than 15 activations per week in 3 centers (3.6%). The criteria used for sepsis diagnosis were the qSOFA/SOFA in 105 (63.6%) of the hospitals, SIRS in 6 (3.6%), while in 49 (29.7%) they used both criteria simultaneously. In 79 centers, the sepsis diagnosis was computerized, and in 56 there were tools to help decision-making. 48% (79 of 163) of the EDs had data on bundles compliance. In 61% (99 of 163) of EDs there was training in sepsis and in 56% (55 of 99) it was periodic. Considering the size of the hospital, large hospitals participated more frequently as recipients of patients with sepsis and had an infectious, sepsis and short-stay unit, a microbiologist and infectious disease specialist on duty. Conclusion. Most EDs have sepsis protocols, but there is room for improvement. The computerization and development of alerts for diagnosis and treatment still have a long way to go in EDs.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/193880
url https://hdl.handle.net/2445/193880
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.37201/req/150.2021
Revista Española de Quimioterapia, 2022, vol. 35, num. 2, p. 192-203
https://doi.org/10.37201/req/150.2021
dc.rights.none.fl_str_mv cc by-nc (c) Llopis Roca, Ferrán et al., 2022
http://creativecommons.org/licenses/by-nc/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc (c) Llopis Roca, Ferrán et al., 2022
http://creativecommons.org/licenses/by-nc/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Espanola de Quimioterapia
publisher.none.fl_str_mv Sociedad Espanola de Quimioterapia
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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