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Determinants of Outcome in Burn ICU Patients with Septic Shock.
J Burn Care Res. 2017 Jan/Feb; 38(1):e172-e179.JB

Abstract

Infectious complications remain one of the most challenging concerns for the burn team. The goal of this study was to evaluate the diagnostic and therapeutic approaches and prognosis in burn patients with septic shock. This retrospective study included patients with severe burn injury who were admitted to a burn intensive care unit (ICU). Demographic and clinical data were recorded for each patient. The diagnostic and prognostic value of a number of clinical and laboratory parameters and various treatment options were evaluated. Sixty-four of the 378 patients (16.9%) were identified as having experienced a septic shock during ICU stay. The mortality rate of patients with septic shock was 46.9%. The main bacterial strains responsible for infection were Gram-negative bacteria (78.1%). Factors associated with outcome of septic shock on logistic regression analysis were presence of stage III of acute kidney injury (odds ratio [95% confidence interval] 2.03 [1.06-3.84]; P = 0.019), and lactate levels > 4 mmol/L during the first 48 hours of shock (odds ratio 1.92; 95% confidence interval: 1.02-3.62; P = 0.043). Prognosis of septic shock remains poor in burn patients with septic shock. The main causative pathogens of septic shock identified in our burn ICU were Gram-negative species. The main prognostic factors identified in this study were the presence of AKI, stage III, and high lactate levels early after the onset of septic shock.

Authors+Show Affiliations

From the Papanikolaou General Hospital, Burn ICU, Thessaloniki, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

27003623

Citation

Lavrentieva, Athina, et al. "Determinants of Outcome in Burn ICU Patients With Septic Shock." Journal of Burn Care & Research : Official Publication of the American Burn Association, vol. 38, no. 1, 2017, pp. e172-e179.
Lavrentieva A, Voutsas V, Konoglou M, et al. Determinants of Outcome in Burn ICU Patients with Septic Shock. J Burn Care Res. 2017;38(1):e172-e179.
Lavrentieva, A., Voutsas, V., Konoglou, M., Karali, V., Koukiasa, P., Loridas, N., Papaioannou, M., Vasileiadou, G., & Bitzani, M. (2017). Determinants of Outcome in Burn ICU Patients with Septic Shock. Journal of Burn Care & Research : Official Publication of the American Burn Association, 38(1), e172-e179. https://doi.org/10.1097/BCR.0000000000000337
Lavrentieva A, et al. Determinants of Outcome in Burn ICU Patients With Septic Shock. J Burn Care Res. 2017 Jan/Feb;38(1):e172-e179. PubMed PMID: 27003623.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of Outcome in Burn ICU Patients with Septic Shock. AU - Lavrentieva,Athina, AU - Voutsas,Vasileios, AU - Konoglou,Maria, AU - Karali,Vasiliki, AU - Koukiasa,Pagona, AU - Loridas,Nikolaos, AU - Papaioannou,Maria, AU - Vasileiadou,Georgia, AU - Bitzani,Militsa, PY - 2016/3/24/pubmed PY - 2018/2/20/medline PY - 2016/3/23/entrez SP - e172 EP - e179 JF - Journal of burn care & research : official publication of the American Burn Association JO - J Burn Care Res VL - 38 IS - 1 N2 - Infectious complications remain one of the most challenging concerns for the burn team. The goal of this study was to evaluate the diagnostic and therapeutic approaches and prognosis in burn patients with septic shock. This retrospective study included patients with severe burn injury who were admitted to a burn intensive care unit (ICU). Demographic and clinical data were recorded for each patient. The diagnostic and prognostic value of a number of clinical and laboratory parameters and various treatment options were evaluated. Sixty-four of the 378 patients (16.9%) were identified as having experienced a septic shock during ICU stay. The mortality rate of patients with septic shock was 46.9%. The main bacterial strains responsible for infection were Gram-negative bacteria (78.1%). Factors associated with outcome of septic shock on logistic regression analysis were presence of stage III of acute kidney injury (odds ratio [95% confidence interval] 2.03 [1.06-3.84]; P = 0.019), and lactate levels > 4 mmol/L during the first 48 hours of shock (odds ratio 1.92; 95% confidence interval: 1.02-3.62; P = 0.043). Prognosis of septic shock remains poor in burn patients with septic shock. The main causative pathogens of septic shock identified in our burn ICU were Gram-negative species. The main prognostic factors identified in this study were the presence of AKI, stage III, and high lactate levels early after the onset of septic shock. SN - 1559-0488 UR - https://www.unboundmedicine.com/medline/citation/27003623/Determinants_of_Outcome_in_Burn_ICU_Patients_with_Septic_Shock_ L2 - https://academic.oup.com/jbcr/article-lookup/doi/10.1097/BCR.0000000000000337 DB - PRIME DP - Unbound Medicine ER -