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Frequency of vital signs monitoring and its association with mortality among adults with severe sepsis admitted to a general medical ward in Uganda
Frequency of vital signs monitoring and its association with mortality among adults with severe sepsis admitted to a general medical ward in Uganda
- Source :
- PLoS ONE, PLoS ONE, Vol 9, Iss 2, p e89879 (2014)
- Publication Year :
- 2013
-
Abstract
- Introduction Optimal vital signs monitoring of patients with severe sepsis in resource-limited settings may improve outcomes. The objective of this study was to determine the frequency of vital signs monitoring of patients with severe sepsis and its association with mortality in a regional referral hospital in Uganda. Methods We reviewed medical records of patients admitted to Mbarara Regional Referral Hospital in Southwestern Uganda with severe sepsis defined by the presence of infection plus ≥2 of the systemic inflammatory response syndrome criteria, and ≥1 organ dysfunction (altered mental state, hypotension, jaundice, or thrombocytopenia). We recorded frequency of vital signs monitoring in addition to socio-demographic, clinical, and outcome data. We analyzed the data using logistic regression. Results We identified 202 patients with severe sepsis. The median age was 35 years (IQR, 25–47) and 98 (48%) were female. HIV infection and anemia was present in 115 (57%) and 83 (41%) patients respectively. There were 67 (33%) in-hospital deaths. The median monitoring frequency per day was 1.1 (IQR 0.9–1.5) for blood pressure, 1.0 (IQR, 0.8–1.3) for temperature and pulse, and 0.5 (IQR, 0.3–1.0) for respiratory rate. The frequency of vital signs monitoring decreased during the course of hospitalization. Patients who died had a higher frequency of vital signs monitoring (p
- Subjects :
- Adult
Male
Bacterial Diseases
medicine.medical_specialty
Critical Care and Emergency Medicine
Anemia
Clinical Research Design
Fluid Management
Multiple Organ Failure
Resuscitation
Critical Care Team Organization
Vital signs
lcsh:Medicine
Blood Pressure
Bacteremia
Global Health
Sepsis
Respiratory Rate
Heart Rate
Internal medicine
Severity of illness
medicine
Humans
Uganda
Hospital Mortality
Intensive care medicine
lcsh:Science
Retrospective Studies
Multidisciplinary
business.industry
Mortality rate
Organ dysfunction
lcsh:R
Middle Aged
medicine.disease
Systemic inflammatory response syndrome
Hospitalization
Blood pressure
Infectious Diseases
Medicine
lcsh:Q
Female
medicine.symptom
business
Research Article
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 9
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- PloS one
- Accession number :
- edsair.doi.dedup.....f461c08e22f0d8efabe951fc34bd8270