Outcome of Severe Sepsis and Septic Shock Management in Phetchabun Hospital - ผลลัพธ์ของการดูแลรักษาผู้ป่วยภาวะติดเชื้อในกระแสเลือดชนิดรุนแรงและชนิดมีภาวะช็อค ในดรงพยาบาลเพชรบูรณ์

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.
Key words: severe sepsis, septic shock, Phetchabun hospital