Sepsis in general surgery: a deadly complication

Laura J. Moore, Frederick A. Moore, Stephen L. Jones, Susan Xu, Barbara L. Bass

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

Background: Sepsis is a deadly and potentially preventable complication. A better understanding of sepsis in general surgery patients is needed to help direct resources to those patients at highest risk for death from sepsis. Methods: We identified risk factors for sepsis in general surgery patients by using the National Surgical Quality Improvement Project database. Results: Analysis of the database identified 3 major risk factors for both the development of sepsis and death from sepsis in general surgery patients. These risk factors are age older than 60 years, need for emergency surgery, and the presence of comorbid conditions. Conclusions: Risk factors for death from sepsis or septic shock in general surgery patients include age older than 60 years, need for emergency surgery, and the presence of preexisting comorbidities. These findings emphasize the need for early recognition through aggressive sepsis screening and rapid implementation of evidence-based interventions for sepsis and septic shock in general surgery patients with these risk factors.

Original languageEnglish (US)
Pages (from-to)868-874
Number of pages7
JournalAmerican Journal of Surgery
Volume198
Issue number6
DOIs
StatePublished - Dec 1 2009

Keywords

  • National Surgical Quality Improvement Project (NSQIP)
  • Perioperative complications
  • Risk factors
  • Sepsis
  • Sepsis epidemiology
  • Surgical sepsis

ASJC Scopus subject areas

  • Surgery

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