Long-Term Prognostic Evaluation of Patients Presenting to The Emergency Department With a Pre-Diagnosis of Sepsis

Abstract

Aim: The aim of this study was to evaluate the 90-day post-discharge mortality and rehospitalization rates of patients hospitalized in the emergency department with a preliminary diagnosis of sepsis.

Materials and Method: Among the patients who applied to our hospital's emergency department between January 1, 2020 and January 1, 2022 with fever, chills, shivering, confusion, nausea and vomiting, patients over the age of 18 who met the criteria for sepsis-3 and were hospitalized or referred to the intensive care unit were included in the study. Age, gender, acute physiological and chronic health evaluation scores of the cases meeting these diagnostic criteria were recorded.

Results: 176 patients were admitted to the Emergency Department with the diagnosis of sepsis 58.44% (n=137) of the patients were male and 41.56% (n=39) were female. 15.78% (n=28) of 176 patients died in the emergency department, 32.44% (n=57) died after ICU admission, and 26.44% (n=47) were discharged.

Conclusion: This study shows that all patients need professional care within 90 days of intensive care discharge. It may be recommended to establish a separate unit in the hospital on this subject.