Sepsis Patients: A Case Study

Decent Essays
In early 1990’s the Early goal-directed therapy Rivers and colleagues challenged the standard sepsis care as an ICU disease by using early goal-directed therapy , with similar urgent diagnostic and therapeutic principles that were used for acute myocardial infarction, stroke, and trauma in the emergency department. There was no protocol to follow to identify early signs and symptoms of sepsis and its management. The high mortality and care that did not have any guidelines and most of the time was unorganized, triggered a series of investigations to identify the reasons for delay in identification and subsequently management of sepsis patients. In 2001, study by Rivers and colleagues, showed a significant reduction in mortality rate in sepsis patients. The reduction in mortality rate was 16% in patients treated with this…show more content…
Each year, over 750,000 are documented with mortality rate as high as 50% (Angus, Linde-Zwirble, Lidicker, Clermont & Pinsky, 2001). It is the 10th leading cause of death in United States. Globally, it is responsible for significantly higher number of deaths than aids, breast cancer and prostate cancer combined. Results from the National Hospital Discharge Survey in 2008 showed patients admitted with sepsis had a greater length of stay and a mortality rate eight times greater than patients admitted with other diagnoses (Hall, Williams, DeFrances, & Golosinskiy, 2011).
Early goal-directed Therapy (EGDT) is a technique, which is used in critical care medicine involving intensive monitoring and aggressive management of patients with high risk of morbidity and mortality due to sepsis. EGDT has proved to be effective in cardiac surgery. The different studies published have shown positive and negative results of EGDT. In this study review project, I have tried to find if EGDT helps reduce mortality rate in sepsis patients compare to the standard
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