Compliance with maternal sepsis guidelines in a tertiary hospital in the Netherlands ...

Sepsis is a common cause of maternal mortality and morbidity. Early detection and rapid management are essential. In this study, we evaluate the compliance with the implemented maternity-specific Early Warning Score (EWS), Rapid Response Team (RRT) protocol and the Surviving Sepsis Campaign (SSC) Hour-1 Bundle in a tertiary hospital in the Netherlands. We performed a retrospective patient chart review from July 2019 to June 2020 at the Leiden University Medical Centre. We included women who received therapeutic antibiotics and were admitted for at least 24 hours. We included 240 women: ten wer... Mehr ...

Verfasser: de Vries, Baukje S.
Verschueren, Kim J.C.
Jansen, Sophie
Bekker, Vincent
Veenhof, Marieke B.
van den Akker, Thomas
Dokumenttyp: article-journal
Erscheinungsdatum: 2024
Verlag/Hrsg.: Taylor & Francis
Schlagwörter: Medicine / Cell Biology / Biotechnology / Immunology / FOS: Clinical medicine / Mathematical Sciences not elsewhere classified / Developmental Biology / Cancer / Hematology
Sprache: unknown
Permalink: https://search.fid-benelux.de/Record/base-29166322
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://dx.doi.org/10.6084/m9.figshare.25288334.v1

Sepsis is a common cause of maternal mortality and morbidity. Early detection and rapid management are essential. In this study, we evaluate the compliance with the implemented maternity-specific Early Warning Score (EWS), Rapid Response Team (RRT) protocol and the Surviving Sepsis Campaign (SSC) Hour-1 Bundle in a tertiary hospital in the Netherlands. We performed a retrospective patient chart review from July 2019 to June 2020 at the Leiden University Medical Centre. We included women who received therapeutic antibiotics and were admitted for at least 24 hours. We included 240 women: ten were admitted twice and one woman three times, comprising 252 admissions. A clinical diagnosis of sepsis was made in 22 women. The EWS was used in 29% ( n = 73/252) of admissions. Recommendations on the follow-up of the EWS were carried out in 53% ( n = 46/87). Compliance with the RRT protocol was highest for assessment by a medical doctor within 30 minutes ( n = 98/117, 84%) and lowest for RRT involvement ( n = 7/23, ...