Epidemiology of sepsis in Colombian intensive care units

ABSTRACT: Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America. Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients r...

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Autores:
Jaimes Barragán, Fabián Alberto
Ortíz Ruiz, Guillermo
Dueñas Castell, Carmelo
Rodríguez, Ferney
Barrera, Lena
de la Rosa Echavez, Gisela del Carmen
Dennis, Rodolfo
Granados, Marcela
Londoño Trujillo, Darío
Molina, Francisco
Tipo de recurso:
Article of investigation
Fecha de publicación:
2014
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/38633
Acceso en línea:
https://hdl.handle.net/10495/38633
Palabra clave:
Sepsis
Colombia - epidemiología
Colombia - epidemiology
Unidades de Cuidados Intensivos
Intensive Care Units
Estudios Prospectivos
Prospective Studies
https://id.nlm.nih.gov/mesh/D018805
https://id.nlm.nih.gov/mesh/D007362
https://id.nlm.nih.gov/mesh/D003105
https://id.nlm.nih.gov/mesh/D011446
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-nd/4.0/
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dc.title.spa.fl_str_mv Epidemiology of sepsis in Colombian intensive care units
dc.title.translated.spa.fl_str_mv Epidemiología de la sepsis en unidades de cuidado intensivo en Colombia
title Epidemiology of sepsis in Colombian intensive care units
spellingShingle Epidemiology of sepsis in Colombian intensive care units
Sepsis
Colombia - epidemiología
Colombia - epidemiology
Unidades de Cuidados Intensivos
Intensive Care Units
Estudios Prospectivos
Prospective Studies
https://id.nlm.nih.gov/mesh/D018805
https://id.nlm.nih.gov/mesh/D007362
https://id.nlm.nih.gov/mesh/D003105
https://id.nlm.nih.gov/mesh/D011446
title_short Epidemiology of sepsis in Colombian intensive care units
title_full Epidemiology of sepsis in Colombian intensive care units
title_fullStr Epidemiology of sepsis in Colombian intensive care units
title_full_unstemmed Epidemiology of sepsis in Colombian intensive care units
title_sort Epidemiology of sepsis in Colombian intensive care units
dc.creator.fl_str_mv Jaimes Barragán, Fabián Alberto
Ortíz Ruiz, Guillermo
Dueñas Castell, Carmelo
Rodríguez, Ferney
Barrera, Lena
de la Rosa Echavez, Gisela del Carmen
Dennis, Rodolfo
Granados, Marcela
Londoño Trujillo, Darío
Molina, Francisco
dc.contributor.author.none.fl_str_mv Jaimes Barragán, Fabián Alberto
Ortíz Ruiz, Guillermo
Dueñas Castell, Carmelo
Rodríguez, Ferney
Barrera, Lena
de la Rosa Echavez, Gisela del Carmen
Dennis, Rodolfo
Granados, Marcela
Londoño Trujillo, Darío
Molina, Francisco
dc.contributor.researchgroup.spa.fl_str_mv Grupo Académico de Epidemiología Clínica
dc.subject.decs.none.fl_str_mv Sepsis
Colombia - epidemiología
Colombia - epidemiology
Unidades de Cuidados Intensivos
Intensive Care Units
Estudios Prospectivos
Prospective Studies
topic Sepsis
Colombia - epidemiología
Colombia - epidemiology
Unidades de Cuidados Intensivos
Intensive Care Units
Estudios Prospectivos
Prospective Studies
https://id.nlm.nih.gov/mesh/D018805
https://id.nlm.nih.gov/mesh/D007362
https://id.nlm.nih.gov/mesh/D003105
https://id.nlm.nih.gov/mesh/D011446
dc.subject.meshuri.none.fl_str_mv https://id.nlm.nih.gov/mesh/D018805
https://id.nlm.nih.gov/mesh/D007362
https://id.nlm.nih.gov/mesh/D003105
https://id.nlm.nih.gov/mesh/D011446
description ABSTRACT: Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America. Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients requiring admission to intensive care units in Colombia. Materials and methods: This was a secondary analysis of a prospective cohort study carried out over a six-month period, from September 1, 2007, to February 28, 2008, in ten medical/surgical intensive care units in four Colombian cities. Patients were considered eligible if they had a probable or confirmed diagnosis of infection according to medical records. We recorded demographic characteristics, first admission diagnosis and co-morbidities, clinical status, and sepsis, severe sepsis or septic shock. Results: During the study period, 826 patients were admitted to the intensive care units. From these patients, 421 (51%) developed sepsis in the community, 361 (44%) in the ICU, and 44 (5%) during hospitalization in the general ward. Two hundred and fifty three patients (30.6%) had involvement of one organ system: 20% had respiratory involvement, followed by kidney and central nervous system involvement with 3.4% and 2.7%, respectively. Conclusions: In our cohort of septic patients, the prevalence of sepsis treated in ICU is similar to that reported in other studies, as well as the overall mortality.
publishDate 2014
dc.date.issued.none.fl_str_mv 2014
dc.date.accessioned.none.fl_str_mv 2024-03-20T19:21:47Z
dc.date.available.none.fl_str_mv 2024-03-20T19:21:47Z
dc.type.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv Ortíz G, Dueñas C, Rodríguez F, Barrera L, de La Rosa G, Dennis R, Granados M, Londoño D, Molina F, Jaimes F. Epidemiology of sepsis in Colombian intensive care units. Biomedica. 2014 Jan-Mar;34(1):40-7. doi: 10.1590/S0120-41572014000100007. PMID: 24967858.
dc.identifier.issn.none.fl_str_mv 0120-4157
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10495/38633
dc.identifier.doi.none.fl_str_mv 10.7705/biomedica.v34i1.1439
dc.identifier.eissn.none.fl_str_mv 2590-7379
identifier_str_mv Ortíz G, Dueñas C, Rodríguez F, Barrera L, de La Rosa G, Dennis R, Granados M, Londoño D, Molina F, Jaimes F. Epidemiology of sepsis in Colombian intensive care units. Biomedica. 2014 Jan-Mar;34(1):40-7. doi: 10.1590/S0120-41572014000100007. PMID: 24967858.
0120-4157
10.7705/biomedica.v34i1.1439
2590-7379
url https://hdl.handle.net/10495/38633
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Biomédica
dc.relation.citationendpage.spa.fl_str_mv 47
dc.relation.citationissue.spa.fl_str_mv 1
dc.relation.citationstartpage.spa.fl_str_mv 40
dc.relation.citationvolume.spa.fl_str_mv 34
dc.relation.ispartofjournal.spa.fl_str_mv Biomédica
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dc.format.extent.spa.fl_str_mv 8 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Instituto Nacional de Salud
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
institution Universidad de Antioquia
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spelling Jaimes Barragán, Fabián AlbertoOrtíz Ruiz, GuillermoDueñas Castell, CarmeloRodríguez, FerneyBarrera, Lenade la Rosa Echavez, Gisela del CarmenDennis, RodolfoGranados, MarcelaLondoño Trujillo, DaríoMolina, FranciscoGrupo Académico de Epidemiología Clínica2024-03-20T19:21:47Z2024-03-20T19:21:47Z2014Ortíz G, Dueñas C, Rodríguez F, Barrera L, de La Rosa G, Dennis R, Granados M, Londoño D, Molina F, Jaimes F. Epidemiology of sepsis in Colombian intensive care units. Biomedica. 2014 Jan-Mar;34(1):40-7. doi: 10.1590/S0120-41572014000100007. PMID: 24967858.0120-4157https://hdl.handle.net/10495/3863310.7705/biomedica.v34i1.14392590-7379ABSTRACT: Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America. Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients requiring admission to intensive care units in Colombia. Materials and methods: This was a secondary analysis of a prospective cohort study carried out over a six-month period, from September 1, 2007, to February 28, 2008, in ten medical/surgical intensive care units in four Colombian cities. Patients were considered eligible if they had a probable or confirmed diagnosis of infection according to medical records. We recorded demographic characteristics, first admission diagnosis and co-morbidities, clinical status, and sepsis, severe sepsis or septic shock. Results: During the study period, 826 patients were admitted to the intensive care units. From these patients, 421 (51%) developed sepsis in the community, 361 (44%) in the ICU, and 44 (5%) during hospitalization in the general ward. Two hundred and fifty three patients (30.6%) had involvement of one organ system: 20% had respiratory involvement, followed by kidney and central nervous system involvement with 3.4% and 2.7%, respectively. Conclusions: In our cohort of septic patients, the prevalence of sepsis treated in ICU is similar to that reported in other studies, as well as the overall mortality.RESUMEN: Introducción. Actualmente no se cuenta con muchos datos disponibles sobre la sepsis en los países en desarrollo y especialmente en América Latina. Objetivo. Este estudio tuvo como objetivo determinar la frecuencia, las características clínicas y epidemiológicas y las consecuencias de la sepsis en una población de pacientes que requirieron ingreso en algunas unidades colombianas de cuidados intensivos. Materiales y métodos. Este fue un análisis secundario de un estudio prospectivo realizado en un período de seis meses contados a partir del 1° de septiembre de 2007 hasta el 28 de febrero del 2008 en diez unidades médico-quirúrgicas de cuidados intensivos de cuatro ciudades de Colombia. Los pacientes se consideraron elegibles si tenían un diagnóstico probable o confirmado de infección según los registros médicos. Se registraron las características demográficas, los diagnósticos de primer ingreso y las enfermedades concomitantes, el estado clínico y la sepsis, sepsis grave o choque séptico Resultados. Durante el período de estudio, 826 pacientes fueron ingresados en las unidades de cuidados intensivos seleccionadas para el estudio. De estos pacientes, 421 (51 %) desarrollaron sepsis en la comunidad, 361 (44 %) en la unidad de cuidados intensivos y 44 (5 %) durante la hospitalización en la sala general; 253 pacientes (30,6 %) presentaron afectación de un órgano del sistema: 20 % tuvo problemas respiratorios, seguido por problemas en los riñones y el sistema nervioso central con 3,4 % y 2,7 %, respectivamente. Conclusiones. En la muestra de pacientes sépticos, la prevalencia de la sepsis, así como de la mortalidad global, en los pacientes tratados en la unidad de cuidados intensivos fue similar a la reportada en otros estudios.Universidad de AntioquiaColombia. Ministerio de Ciencia Tecnología e Innovación - MinicienciasCOL00071218 páginasapplication/pdfengInstituto Nacional de SaludBogotá, Colombiahttps://creativecommons.org/licenses/by-nc-nd/4.0/http://creativecommons.org/licenses/by-nc-nd/2.5/co/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Epidemiology of sepsis in Colombian intensive care unitsEpidemiología de la sepsis en unidades de cuidado intensivo en ColombiaArtículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionSepsisColombia - epidemiologíaColombia - epidemiologyUnidades de Cuidados IntensivosIntensive Care UnitsEstudios ProspectivosProspective Studieshttps://id.nlm.nih.gov/mesh/D018805https://id.nlm.nih.gov/mesh/D007362https://id.nlm.nih.gov/mesh/D003105https://id.nlm.nih.gov/mesh/D011446Biomédica4714034Biomédica1115-3431-9154RoR:03bp5hc83RoR:03fd5ne08PublicationORIGINALRodriguezFerney_2014_Epidemiology_Colombian.pdfRodriguezFerney_2014_Epidemiology_Colombian.pdfArtículo de investigaciónapplication/pdf144796https://bibliotecadigital.udea.edu.co/bitstreams/4c47fb3b-0cb4-44a9-80fa-98de0a12a997/download93145a80f5540e141d78fbea9cd9773dMD51trueAnonymousREADCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8823https://bibliotecadigital.udea.edu.co/bitstreams/81c9b646-8d75-45d1-a7c2-2d01d46de32b/downloadb88b088d9957e670ce3b3fbe2eedbc13MD52falseAnonymousREADLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstreams/e0a93905-eb5c-419d-a259-86126901331b/download8a4605be74aa9ea9d79846c1fba20a33MD53falseAnonymousREADTEXTRodriguezFerney_2014_Epidemiology_Colombian.pdf.txtRodriguezFerney_2014_Epidemiology_Colombian.pdf.txtExtracted texttext/plain38655https://bibliotecadigital.udea.edu.co/bitstreams/0f81d898-67fe-4e79-a0ab-79a464a086b7/download698b3f52e336958e660d2ed93b053078MD56falseAnonymousREADTHUMBNAILRodriguezFerney_2014_Epidemiology_Colombian.pdf.jpgRodriguezFerney_2014_Epidemiology_Colombian.pdf.jpgGenerated Thumbnailimage/jpeg14494https://bibliotecadigital.udea.edu.co/bitstreams/ded4014a-4ce1-4328-b1a4-76457cb0a64b/download5808a089134ae1cf4aa00fe327cf261eMD57falseAnonymousREAD10495/38633oai:bibliotecadigital.udea.edu.co:10495/386332025-03-26 18:12:24.34https://creativecommons.org/licenses/by-nc-nd/4.0/open.accesshttps://bibliotecadigital.udea.edu.coRepositorio Institucional de la Universidad de Antioquiaaplicacionbibliotecadigitalbiblioteca@udea.edu.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