Outcome of Severe Sepsis and Septic Shock Management in Phetchabun Hospital

Abstract

Severe sepsis and septic shock result in a high mortality rate yet the previous studies have shown that early recognition and early resuscitation was associated with a significant reduction of mortality rate. This retrospective study was aimed at comparing an overall mortality rate and mortality rate between two groups of patients with appropriate management and inappropriate management in Phetchabun hospital. Data were collected from medical record including information of 260 patients with severe sepsis and septic shock in a medical ward, Phetchabun hospital between March 1, 2012 and August 31, 2012. The overall mortality rate of severe sepsis and septic shock was 68.08 percent and significant difference between the mortality rates of the two groups of patients with appropriate management and inappropriate management (40.74% versus 87.50%, p-value 0.000). Early appropriate management can be significant in a reduction of mortality rate of patients with severe sepsis and septic shock.