Myocardial Injury in Sepsis SUMMARY:Sepsis induced myocardial QT prolongation is a serious complication.Sepsis is an independent predictor for the development of prolonged QT interval.New onset QT interval in sepsis had higher arrhythmias and 30 day mortality. REVIEW: Liu et al Critical Care 2024;28:115 doi.org/10.1186/s13054-024-04879-2Retrospective review of sepsis patients from 2018 – 2022
Sepsis Programs in Acute Care U.S. Hospitals SUMMARY: Sepsis programs within a hospital have been found to decrease: Mortality Length of stay Hospital costs The National Healthcare Safety Network conducted a survey in 2022 acute care hospitals on their sepsis programs. Of 5,221 respondents, the majority of hospitals reported the
Global Sepsis Pathogen Patterns SUMMARY: Although sepsis is a global problem, there is little data on the pattern of causative organisms as well as any changes over time. Until the pandemic, bacterial sepsis was the predominate pathogen. However, the COVID pandemic saw viral sepsis become a major factor. Differences exist in sepsis
Sepsis Outcomes Associated with Liver Disease SUMMARY: Although rare, liver failure in sepsis has a profound impact on mortality. Liver disease with sepsis requires more critical care support vs without liver disease. Clinicians should consider liver disease as a variable in sepsis patients moving in the future.
Heart Rate & Temperature as Sepsis Mortality Prognostic Indicator SUMMARY The systemic effects of sepsis are due to the activation of a variety of physiologic cascades. Activation of the sympathetic nervous system with catecholamine release and the acute inflammatory response results in elevations in temperature and heart rate. The heart
Sepsis Associated Kidney Injury in the ICU SUMMARY Acute Kidney Injury often times accompanies sepsis. Sepsis Associated Acute Kidney Injury (SA-AKI) has a greater morbidity and mortality rate than sepsis or acute kidney injury alone. The outcome of SA-AKI has not been extensively reported due to differences in reproducibility and
Use of Machine Learning Algorithms in Sepsis SUMMARY The predictive value of sepsis clinical scoring systems is controversial but needs further improvement. Machine learning methods have recently emerged in the use of predicting disease identification, diagnosis and treatment. There is a current lack of comprehensive understanding of machine learning models
Prolonged vs Intermittent Antibiotic Infusions SUMMARYRecent efforts to maximize antibiotic activity have focused on using pharmacokinetic (PK) and pharmacodynamic (PD) principles for drug administration.As a preferred choice, beta lactams, and specifically meropenem displays a time dependent bactericidal activity based on free concentrations above the minimum inhibitory concentration (MIC).Although additional well controlled
Centers for Disease Control and Prevention Sepsis Initiatives SUMMARY The U.S. Centers for Disease Control and Prevention (CDC) has proposed the “Adult Sepsis Event Toolkit” - 2018 (ASE Toolkit), and the “Hospital Sepsis Program Core Elements” – 2023 (Sepsis Program Core Elements). The Program Elements were developed to help hospitals
Socioeconomic Impact on Sepsis SUMMARYSocioeconomic variables, beyond the control of patients and providers can impact the outcomes of sepsis patients.Larger data sets are needed to confirm the full impact of socioeconomic factors on sepsis mortality and hospital readmission rates.Further investigation to better understand socioeconomic variables on their influence to sepsis mortality is
