Examining the association between triage streamed treatment location and time to appropriate antibiotics in emergency department patients with septic shock
Description
<p><b>Objective</b>: Early recognition and treatment for sepsis is critical in improving patient outcomes. The present study sought to examine whether triage location was associated with time to appropriate antibiotics in a cohort of ED patients with septic shock. <br/></p><p><b>Methods</b>: Septic shock patients were identified from a database of ED patients admitted with infection. Demographic, clinical and outcome data were reported by triage location. Time to event analyses sought to identify the association between triage location and time to appropriate antibiotic. Secondary outcome variables included ED and hospital length of stay (LOS), 30-day mortality, and ICU admission. <br/></p><p><b>Results</b>: Time to appropriate antibiotic administration was longer for those patients triaged to lower acuity (242 min) compared to higher acuity (98 min, P < 0.01) locations. After adjustment for severity of illness, hospital LOS, ED LOS and 30-day mortality were similar regardless of the triaged location. Admission to ICU was lower for patients triaged to lower (7.3%) compared to higher (47.3%) acuity treatment locations. <br/></p><p><b>Conclusions</b>: We identified a sub-group of septic shock patients triaged to a lower acuity treatment location who received significant delays to antibiotics. This research area deserves closer examination to potentially recognise septic shock earlier in the continuum.</p>
Impact and interest:
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ID Code: | 205705 | ||||
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Item Type: | Contribution to Journal (Journal Article) | ||||
Refereed: | Yes | ||||
ORCID iD: |
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Measurements or Duration: | 7 pages | ||||
Keywords: | emergency service, hospital, septic, shock, triage | ||||
DOI: | 10.1111/1742-6723.13552 | ||||
ISSN: | 1742-6731 | ||||
Pure ID: | 69511034 | ||||
Divisions: | Current > Research Centres > Centre for Healthcare Transformation Current > Research Centres > Australian Centre for Health Services Innovation Past > QUT Faculties & Divisions > Faculty of Health Past > Institutes > Institute of Health and Biomedical Innovation Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Nursing |
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Funding Information: | The authors thank data collectors Juliet McKenzie, Bronwyn Thomas and Nicole Larcombe and other valuable contributions from Katherine Doucet and Elisabet Jubert Esteve. The database was developed and maintained with expert assistance from Jaga Chabrowska. Funding for the original data collection was provided by the Queensland Emergency Medicine Research Foundation (Grant ID: PROG‐2009‐003‐WILLIAMS‐SEPSIS2). | ||||
Copyright Owner: | 2020 Australasian College for Emergency Medicine | ||||
Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||
Deposited On: | 26 Oct 2020 01:55 | ||||
Last Modified: | 29 Feb 2024 10:43 |
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