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Colegio de Medicina Interna de México.

2014, Number 4

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Med Int Mex 2014; 30 (4)

Survival Analysis of Septic Shock Patients Admitted in an Intensive Care Unit

Mena-Ramírez JR, Valdez-Euan J, Castro-Sansores CJ, Martínez-Díaz G

Language: Spanish
References: 20
Page: 399-406
PDF size: 455.32 Kb.


ABSTRACT

Background: Sepsis, severe sepsis and septic shock are currently an important worldwide health issue. In most of the Studies done in Mexico clinical and epidemiological characteristics of patients are not described.
Objectives: To identify the main clinical and epidemiological characteristics of patients with septic shock and to detect the risk factors influencing on mortality.
Material and method: An observational, analytic, longitudinal and retrospective study was done with patients with septic shock attended at Intensive Care Unit of Regional General Hospital Ignacio García Téllez, Mexico, from 2012 to 2012.
Results: A total of 186 cases were included. Comorbidities were reported in 68.3% of cases. The most frequent comorbidity observed was diabetes mellitus 2, followed by high blood pressure, chronic renal failure and cardiac disease. Abdominal origin was the most common, followed by urologic and pulmonary. Global mortality was of 41%. Variables that had effect on mortality were the presence of more than one comorbidity (p = 0.009), chronic renal failure (p= 0.002), APACHE II at admission (p = 0.001), SOFA at admission (p = 0.000), success of empiric treatment (p = 0.000) and double vasopressor requirement (p = 0.000).
Conclusions: Septic shock represents an important entity in Intensive Care Unit and has an elevated mortality, thereby identifying risk factor is important in order to intervene as early as possible.


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