Door-to-antibiotic Time and In-hospital Mortality of Elder Patients Presenting to Emergency Department with Sepsis; a Cross-Sectional Study

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

Tantarattanapong Siriwimon; Hemwej Thanaporn

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Archives of Academic Emergency Medicine Year:2021 | Volume:9 | Issue:1 Page(s): 0-0

Download Full-Text

View:

Download:

Cites:

Information Journal Paper

Title

Door-to-antibiotic Time and In-hospital Mortality of Elder Patients Presenting to Emergency Department with Sepsis; a Cross-Sectional Study

Author(s)

Tantarattanapong Siriwimon | Hemwej Thanaporn | Issue Writer Certificate

Keywords

Anti-Bacterial Agents

Mortality

Emergency Service

Hospital

Quality of Health Care

Sepsis

Aged

80 and over

Abstract

Introduction: The current international Sepsis guideline recommends that administration of intravenous broad-spectrum antibiotics should be initiated within 1 hour of emergency department (ED) arrival for Sepsis patients. This study aimed to evaluate the association between door-to-antibiotic time and in-Hospital Mortality of these patients. Methods: In this retrospective cross-sectional study, elderly patients (age ¸ 65 years) diagnosed with Sepsis in the ED of a tertiary referral and academic Hospital from January to December 2019 were enrolled. Door-to-antibiotic time was defined as the time from ED arrival to antibiotic initiation. The associations of door-to-antibiotic time and each hour delay in first antibiotic initiation with in-Hospital Mortality were assessed. Results: Six hundred patients with the median age of 78. 0 (IQR: 72. 0-86. 0) were studied (50. 8% female). The median door-to-antibiotic time was 51. 0 (36. 0– 89. 0) minutes and in-Hospital Mortality rate was 12. 5%. There was no significant difference in the in-Hospital Mortality rate between door-to-antibiotic time · 1 hour and >1 hour (13. 1% vs. 11. 6%, p = 0. 726). When considering hour-upon-hour of door-to-antibiotic time, no significant difference in in-Hospital Mortality was observed (p = 0. 866). Factors that led to a delay in doorto-antibiotic time were presenting body temperature <38° C (odds ratio [OR] 3. 34; 95% CI, 2. 12-5. 29; p < 0. 001) and age <75 years (OR 1. 7; 95% CI, 1. 09-2. 64; p= 0. 019). Conclusion: Door-to-antibiotic time was not associated with in-Hospital Mortality in elderly Sepsis patients in this study. Significant factors that led to a delay in door-to-antibiotic time were no fever, age <75 years, doctor time, and blood sample taking time.

Cites

No record.

References

No record.

Cite

APA: Copy

Tantarattanapong, Siriwimon, & Hemwej, Thanaporn. (2021). Door-to-antibiotic Time and In-hospital Mortality of Elder Patients Presenting to Emergency Department with Sepsis; a Cross-Sectional Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 9(1), 0-0. SID. https://sid.ir/paper/973954/en

Vancouver: Copy

Tantarattanapong Siriwimon, Hemwej Thanaporn. Door-to-antibiotic Time and In-hospital Mortality of Elder Patients Presenting to Emergency Department with Sepsis; a Cross-Sectional Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/973954/en

IEEE: Copy

Siriwimon Tantarattanapong, and Thanaporn Hemwej, “Door-to-antibiotic Time and In-hospital Mortality of Elder Patients Presenting to Emergency Department with Sepsis; a Cross-Sectional Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/973954/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops