Use of Sequential Organ Failure Assessment Among Intensive Care Unit Patients with Septic Shock

Authors

  • Ahlam Aluneizi Health Studies Center, King Salman Armed Forces Hospital, Tabuk, Saudi Arabia
  • Eman Aluneizi Health Studies Center, King Salman Armed Forces Hospital, Tabuk, Saudi Arabia
  • Dr. Caroline Etland Hahn School of Nursing and Health Science University of San Diego, San Diego, California, United States

DOI:

https://doi.org/10.47672/ejhs.1568

Keywords:

Sepsis, Septic Shock, Intensive Care Units, Sequential Organ Failure Assessment, length of Stay, Advanced Illness Management, Goals of Care Conversations

Abstract

Purpose: Sepsis is a significant cause of mortality in modern intensive care units (ICUs). At Sharp Grossmont Hospital (SGH), sepsis cases increased the patient mortality rate in comparison to other Sharp facilities. Currently, no tools are utilized to identify septic patients at SGH. The study aimed to find out the impact of early consultation of advanced illness management (AIM) and goals of care conversations (GOCC) on reducing the length of stay (LOS) among septic shock patients.

Methodology: Descriptive data were attained based on Electronic Medical Records (EMR) of 39 septic shock patients form which ICU nurses utilize to calculate Sequential Organ Failure Assessment (SOFA) on admission and daily for 2 days. 

Findings: The education increased the ICU staff's awareness of the high occurrence of septic shock among ICU patients. After the deployment of SOFA scores among 39 patients of septic shock, the average LOS was 3 days, compared to more than 5 days before implementing SOFA scores. Post-implementation, 33 % of patients received early AIM or GOCC intervention, with 84% of them receiving intervention from the first day of admission. These percentages are compared to pre-implementation, when early AIM or GOCC intervention was provided to 36.4 % of patients, with 41.3 % of them receiving AIM or GOCC from the first day of admission.

Recommendations: In this study, the leader of change must be aware of standardized Arterial Blood Gas (ABG) orders for SOFA scores and measure the compliance of ICU nurses in documenting SOFA scores. Moreover, raise awareness among healthcare professionals about the high occurrence of septic shock mortality among ICU patients.

Downloads

Download data is not yet available.

References

Centers for Disease Control and Prevention. (2020). Clinical resources. https://www.cdc.gov/sepsis/clinicaltools/index.html

Girardis, M., Rinaldi, L., Donno, L., Marietta, M., Codeluppi, M., Marchegiano, P., & Venturelli,C. (2009). Effects on management and outcome of severe sepsis and septic shock patients admitted to the intensive care unit after implementation of a sepsis program: A pilot study. Critical Care, 13(5), R143. http://doi.org/10.1186/cc8029

Khwannimit, B., Bhurayanontachai, R., & Vattanavanit, V. (2019). Comparison of the accuracy of three early warning scores with SOFA score for predicting mortality in adult sepsis and septic shock patients admitted to the intensive care unit. Heart & Lung, 48(3), 240-244. https://doi.org/10.1016/j.hrtlng.2019.02.005

Lambden, S., Laterre, P. F., Levy, M. M., & Francois, B. (2019). The SOFA score - Development, utility, and challenges of accurate assessment in clinical trials. Critical Care, 23(1), 1-9. https://doi.org/10.1186/s13054-019-2663-7

Seymour, C. W., Liu, V. X., Iwashyna, T. J., Brunkhorst, F. M., Rea, T. D., Scherag, A., & Deutschman, C. S. (2016). Assessment of clinical criteria for sepsis for the third international consensus definitions for sepsis and septic shock (Sepsis-3). The Journal of the American Medical Association, 315(8), 762-774. https://doi.org/10.1001/jama.2016.0288

Sharp Grossmont Hospital. (2020). https://www.sharp.com/hospitals/grossmont/

Vincent, J. L., Jones, G., David, S., Olariu, E., & Cadwell, K. K. (2019). Frequency and mortality of septic shock in Europe and North America: A systematic review and meta-analysis. Critical Care, 23(1), 1-11. https://doi.org/10.1186/s13054-019-2478-6

Downloads

Published

2023-08-19

How to Cite

Aluneizi, A. ., Aluneizi, E. ., & Etland, D. C. . (2023). Use of Sequential Organ Failure Assessment Among Intensive Care Unit Patients with Septic Shock. European Journal of Health Sciences, 9(3), 1–8. https://doi.org/10.47672/ejhs.1568

Issue

Section

Articles