ISSN: 1859 - 2872
Pattern of organ failure and predictors of mortality in septic shock patients in 108 Military Central Hospital
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Abstract
Objective: To describe pattern of multi-organ failure and predictive factors of mortality in septic shock patients with multi-organ failure treated at 108 Military Central Hospital. Subject and method: A prospective cross-sectional study was conducted on 98 septic shock patients with multi-organ failure in 108 Military Central Hospital from 2017 to 2018. These patients fulfilled septic shock criteria according to Survival Sepsis Campaign (SSC) 2016. Diagnosis of multiple organ failure was based on the modified Klaus criteria 2005. Patients were divided into two groups: Survival and death. These two groups were compared to find out some prognostic factors. Result and conclusion: The majority of patients was older than 60, male patients accounted for 66.3%. The common comorbidities in our study were diabetes (35.7%), hypertension (30.6%), cirrhosis (25.5%). The most common organ failures was respiratory (71.4%), followed by kidney (62.9%), liver (57.5%). The higher the number of organ failure, the higher the mortality rate was. The general mortality rate was 63.3%. Three independent predictors of mortality in septic shock patients with multi-organ failure were ARDS, APACHE II > 22, SOFA > 9.
Keywords: Septic shock, multi-organ failure, predictive factors of mortality.
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References
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