Recognition of Sepsis Presenting With Atypical Symptoms, in Hemodynamically Stable Patients

Author(s)

Póhr K1, Betlehem J2, Haness J3, Köcse T3, Prugberger J3, Boncz I4, Kovács I1, Pakai A5
1University of Pécs Faculty of Health Sciences, Szombathely, VA, Hungary, 2University of Pécs Faculty of Health Sciences, Pécs, BA, Hungary, 3National Ambulance Service, Szombathely, Hungary, 4University of Pécs, Pécs, BA, Hungary, 5University of Pécs Faculty of Health Sciences, Zalaegerszeg, ZA, Hungary

OBJECTIVES: The prevalence of asymptomatic, haemodynamically stable, septic, elderly patients in oxyological care is considerable. Our aim was to describe the prevalence, sociodemographic characteristics, triage category, disposition, and lactate level of these patients.

METHODS: Our research method was a quanitative, retrospective document analysis. Our sample group consisted of patients treated for sepsis between 01/01/2024 and 29/02/2024, aged 65 years or older, with atypical symptoms (n=103). The obtained data was evaluated by descriptive and mathematical statistical calculations (chi2 test, two-sample T-test, correlation analysis) using SPSS 26.0 software (p<0.05).

RESULTS: Septicaemia BNO-code, 44.23% of patients diagnosed with septicaemia had elderly, cardiorespiratory stable, asymptomatic sepsis. The study found that residents of social institutions had a significantly higher proportion of deaths from sepsis (p=0.004). We found that the group of triage categories that were re-generated based on NEWS scores was significantly lower (p=0.000). The control group was the septic patients with typical complaints. The result was that the survival rates of the control group and the main group weren’t significantly different (p=0.34) and they weren’t significantly sooner on antibiotics (p=0.15).

CONCLUSIONS: Asymptomatic sepsis in old age is a major disease process with a high mortality rate, and it’s recognition is still often difficult even for experienced caregivers. The development of a standardised care protocol could be useful, which could increase the survival rate of patients.

Conference/Value in Health Info

2024-11, ISPOR Europe 2024, Barcelona, Spain

Value in Health, Volume 27, Issue 12, S2 (December 2024)

Code

EPH64

Topic

Epidemiology & Public Health, Medical Technologies, Patient-Centered Research

Topic Subcategory

Diagnostics & Imaging, Health State Utilities, Public Health

Disease

Cardiovascular Disorders (including MI, Stroke, Circulatory), Infectious Disease (non-vaccine)

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