Abstract
Objective: To provide a record of the implementation and outcome of surviving sepsis campaign 2016 at Dr. Soetomo General Hospital, Surabaya, Indonesia, such as 3- and 6-hour sepsis bundle compliance as a baseline and the Sepsis-related Organ Failure Assessment (SOFA) score after 48 hours of treatment. SOFA values were used to predict mortality in the hospital.
Design: This was an observational experimental study that used cross sectional design.
Setting: Resuscitation room in Dr. Soetomo General Hospital.
Patients and participants: A purposive sample was taken of patients older than 17-year-old suspected with sepsis or septic shock according to diagnosis criteria from Surviving Sepsis Campaign (SSC) 2016. Thirty-two patients, consist of 24 male and 8 female patients were included.
Interventions: After patients were suspected of sepsis or septic shock according to diagnosis criteria from SSC 2016, they were treated with 3- and 6-hour sepsis bundle, then the data were collected with questionnaire.
Measurements and results: We found 75% of patients received a 3-hour sepsis bundle in <3 hours, and 50% of patients had 6-hour sepsis bundle in <6 hours. The compliance rate of 3- and 6-hour sepsis and septic shock bundles reached 46.88%. SOFA scores before and after 48-hour management of sepsis had a significant increase with p=0.001 (p<0.05).
Conclusions: There were significant decreasing of SOFA values in baseline and 48 hours after the management of sepsis and septic shock in 81.25% patients (n=26). This result suggests that management of sepsis based on SSC 2016 contribute to the improvement of the patient’s condition and better prognosis.
Arie Utariani, Bambang Pujo Semedi, Rizki Anestesia, Hamzah, Eddy Rahardjo, Elizeus Hanindito
