000007664 001__ 7664
000007664 005__ 20240124114249.0
000007664 0247_ $$2DOI$$a10.6083/m4rf5tj4
000007664 037__ $$aETD
000007664 245__ $$aEvaluating sepsis bundle compliance in the adult and older adult patient
000007664 260__ $$bOregon Health and Science University
000007664 269__ $$a2017
000007664 336__ $$aFinal project
000007664 502__ $$bD.N.P.
000007664 520__ $$aSepsis is one of the largest contributors of ICU and hospital admissions and hospital mortality. In particular, older patients (?65 years) not only have a higher risk of developing sepsis than adult patients (<65 years), but also have a higher risk of mortality (Martin, Mannino, & Moss, 2006). While early recognition and prompt treatment that follows the Surviving Sepsis Campaign (SSC) guidelines for sepsis and septic shock have been proven to decrease hospital length of stay (LOS) and decrease hospital mortality, current compliance remains poor (Rhodes et al., 2015). Methods: This was a single-center, retrospective chart review, for quality improvement, that examined SSC guideline compliance of adult patients admitted from the ED to an inpatient unit between October 1, 2015 and September 30, 2016 with a diagnosis of severe sepsis or septic shock. Results: A total of 241 patients were included. There was a significant difference in overall SSC guideline compliance between adults and older adults (37.37% vs. 27.19%, p = .04486). There was no difference between age groups when compliance to the 3-hour bundle was measured (52.76% vs. 45.61%, p = .27006), nor was there any difference between age groups when compliance to the 6-hour bundle was measured (60.64% vs. 50.00%, p = .15095). Conclusion: Overall compliance with the entire SSC sepsis guidelines was significantly less in the older adult patient compared to the adult patient.  
000007664 650__ $$aCompliance$$016978
000007664 650__ $$aHospital Mortality$$029650
000007664 650__ $$aAged$$014351
000007664 650__ $$aSepsis$$031109
000007664 6531_ $$aseptic shock
000007664 691__ $$aSchool of Nursing$$041370
000007664 7001_ $$aThornton, Nathan$$uOregon Health and Science University$$041354
000007664 8564_ $$927af8255-6777-4382-a193-76c84170a8d3$$s4280181$$uhttps://digitalcollections.ohsu.edu/record/7664/files/Thornton.Nathan.2017.pdf
000007664 905__ $$a/rest/prod/79/40/7x/87/79407x87x
000007664 909CO $$ooai:digitalcollections.ohsu.edu:7664$$pstudent-work
000007664 980__ $$aTheses and Dissertations