Bóa cáo y học: "The incidence and outcome of septic shock patients in the absence of early-goal directed therapy"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: The incidence and outcome of septic shock patients in the absence of early-goal directed therapy. | Available online http content 10 3 R80 Research The incidence and outcome of septic shock patients in the absence of early-goal directed therapy Benjamin CH Ho1 Rinaldo Bellomo1 Forbes McGain1 Daryl Jones1 Toshio Naka1 Li Wan1 and George Braitberg2 Department of Intensive Care Department of Medicine University of Melbourne Melbourne Australia department of Emergency Medicine Austin Hospital Melbourne Australia Corresponding author Rinaldo Bellomo Received 13 Mar 2006 Accepted 18 Apr 2006 Published 16 May 2006 Critical Care 2006 10 R80 doi cc4918 This article is online at http content 10 3 R80 2006 Ho et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction The purpose of the present study was to measure the incidence and outcome of septic patients presenting at the emergency department ED with criteria for early goal-directed therapy EGDT . Method This hospital-based retrospective observational study using prospectively collected electronic databases was based in a teaching hospital in Melbourne Australia. We conducted outcome-blinded electronic screening of patients with infection admitted via the ED from 1 January 2000 to 30 June 2003. We obtained data on demographics laboratory and clinical features on admission. We used paper records to confirm electronic identification of candidates for EGDT and to study their treatment. We followed up all patients until hospital discharge or death. Results Of 4 784 ED patients with an infectious disease diagnosis only 50 fulfilled published clinical inclusion criteria for EGDT EGDT candidates . Of these patients 37 74 survived their hospital admission two 4 died in the ED eight 16 died in the

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