Evidence map›Paper›PMID 30970093›Full record

ArticleRevista Brasileira de terapia intensiva

Characteristics and outcomes of patients with community-acquired and hospital-acquired sepsis.

Glauco Adrieno Westphal, Aline Braz Pereira, Silvia Maria Fachin, Ana Carolina Caldara Barreto, Ana Carolina Gern Junqueira Bornschein, Milton Caldeira Filho, Álvaro Koenig

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Article in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. Development of a mobile application for health education about sepsis.Revista da Escola de Enfermagem da U S P · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Glauco Adrieno WestphalCentro Hospitalar Unimed Joinville - Joinville (SC), Brasil.
Aline Braz PereiraCentro Hospitalar Unimed Joinville - Joinville (SC), Brasil.
Silvia Maria FachinCentro Hospitalar Unimed Joinville - Joinville (SC), Brasil.
Ana Carolina Caldara BarretoUniversidade da Região de Joinville - Joinville (SC), Brasil.
Ana Carolina Gern Junqueira BornscheinUniversidade da Região de Joinville - Joinville (SC), Brasil.
Milton Caldeira FilhoCentro Hospitalar Unimed Joinville - Joinville (SC), Brasil.
Álvaro KoenigCentro Hospitalar Unimed Joinville - Joinville (SC), Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the clinical characteristics and outcomes of patients with community-acquired and hospital-acquired sepsis.

methodsThis is a retrospective cohort study that included all patients with a diagnosis of sepsis detected between January 2010 and December 2015 at a private hospital in southern Brazil. Outcomes (mortality, intensive care unit and hospital lengths of stay) were measured by analyzing electronic records.

resultsThere were 543 hospitalized patients with a diagnosis of sepsis, with a frequency of 90.5 (85 to 105) cases/year. Of these, 319 (58%) cases were classified as hospital-acquired sepsis. This group exhibited more severe disease and had a larger number of organ dysfunctions, with higher hospital [8 (8 - 10) versus 23 (20 - 27) days; p < 0.001] and intensive care unit [5 (4 - 7) versus 8.5 (7 - 10); p < 0.001] lengths of stay and higher in-hospital mortality (30.7% versus 15.6%; p < 0.001) than those with community-acquired sepsis. After adjusting for age, APACHE II scores, and hemodynamic and respiratory dysfunction, hospital-acquired sepsis remained associated with increased mortality (OR 1.96; 95%CI 1.15 - 3.32, p = 0.013).

conclusionThe present results contribute to the definition of the epidemiological profile of sepsis in the sample studied, in which hospital-acquired sepsis was more severe and was associated with higher mortality.

Indexed as

Hospital MortalityAgedAPACHEBrazilCohort StudiesCross InfectionFemaleHospitals, PrivateHumansIntensive Care UnitsLength of StayMaleMiddle AgedRetrospective StudiesSepsis

Identifiers

PMID30970093
PMCPMC6443308

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.