THE ROLE OF MOFS IN OUTCOME IN PATIENTS WITH SEPTIC SHOCK
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 6
Abstract
BACKGROUND Multiple organ failure (MOF) is the main cause of death in ICUs, especially affecting septic patients. Infections are the primary outcome determinant of the MOFS in patients with septic shock. This is a prospective study conducted in DMC and H over a period of 15 months, where patients admitted to all kinds of Medicine Department ICU’s were studied. The objective of this study is to provide data from our college to study the incidence of MOFS in septic shock patients, number of organs involvement and its influence on mortality. MATERIALS AND METHODS A total of 104 patients were enrolled in the study. Patients were enrolled as per inclusion criteria for septic shock. Out of total 104 patients, 64 patients (61.54%) had MOFS and 40 patients (38.46%) were without MOFS. Out of 64 patients with MOFS, 18 patients had single organ involvement with mortality rate of 11.11%, 12 patients had 2 - 3 organs involvement, mortality rate of 33.33% and 34 patients were having more than 3 organs involvement with highest mortality rate of 70.58%. UTI was found to be a major source of infection in 60.58% of patients. RESULTS The baseline demographic characteristics and various parameters of recovery of patients were evaluated and noted. Maximum number of patients, 29 (27.88%) were in the age group of 56 - 65 years followed by age group 46 - 55 years (22.12%). CONCLUSION So we conclude that MOF due to sepsis in an ICU is frequent with high mortality related to the number of failing organs, age and high APACHE II.
Authors and Affiliations
Vikas Garg, Anju Bhagtana, Jyoti Garg, Nain P. S
Keywords
Related Articles
- EP ID EP399007
- DOI 10.14260/jemds/2018/165
- Views 65
- Downloads 0
A RARE AND UNIQUE CASE OF ECCRINE SPIRADENOMA OF THE EYELID
Rare group of tumors with potential for local destruction and metastasis, Taxonomically segregated into 2 main groups, as follows: those that are histologically similar to certain benign appendage tumors (e.g.,...
A METHOD TO IMPROVE IRON COMPLIANCE IN TREATING IRON DEFICIENCY ANAEMIA IN PREGNANCY
BACKGROUND Anaemia among pregnant women is a serious global health concern. Iron deficiency is the most prevalent nutritional deficiency on the globe. In India, pregnant women are amongst the most vulnerable population f...
EVALUATING THE EFFICACY OF URETEROSCOPIC MANAGEMENT OF UPPER URETERIC CALCULI USING STONE CONE ENTRAPMENT DEVICE- A PROSPECTIVE, RANDOMISED, CONTROLLED STUDY
BACKGROUND Endoscopic management of ureteral stones with new improved techniques have resulted in greater stone-free rates with low morbidity. However, problems remain preventing to achieve a 100% stone free rate with en...
COMPARISON OF 2 DIFFERENT DOSES OF ORAL PREGABALIN AS PREMEDICATION ON HAEMODYNAMIC PRESSOR RESPONSE DURING INTUBATION AND EXTUBATION IN MODIFIED RADICAL MASTECTOMY PATIENTS
BACKGROUND Intubation and extubation processes are associated with significant haemodynamic response, thus making adequate premedication a necessity. Our study compared 2 doses of oral pregabalin as premedication for blu...
EVALUATION OF PERIPHERAL SMEAR AND BONE MARROW IN PATIENTS PRESENTING WITH PANCYTOPENIA
BACKGROUND Pancytopenia is a relatively common clinico-haematological entity with many aetiological conditions. The aim of this study is to compare the incidence of various causes and clinical presentations of pancytopen...