Epidemiological profile of sepsis in a reference hospital in Paraná

Authors

• D'julia Raissa Seitz Unipar - Universidade Paranaense https://orcid.org/0000-0002-4479-1452
• Gilmar dos Santos Godinho Azevedo Unipar - Universidade Paranaense https://orcid.org/0009-0002-9709-667X
• Stefany de Oliveira Unioeste https://orcid.org/0009-0001-0194-2206
• Allan Pantano Unipar - Universidade Paranaense https://orcid.org/0009-0008-7226-0676
• Géssica Tuani Teixeira Universidade Paranaense (UNIPAR) https://orcid.org/0000-0002-4479-1452
• Franciele Nascimento Santos Zonta Hospital Regional do Sudoeste Walter Alberto Pecoits https://orcid.org/0000-0002-4236-4027

DOI:

https://doi.org/10.17058/reci.v15i4.20184

Keywords:

Sepsis, Septic Shock, Intensive Care Unit, Hospital Infection, Epidemiology

Abstract

Background and Objectives: To describe the clinical and epidemiological characteristics of patients who developed sepsis and/or septic shock admitted to two adult ICUs of a reference hospital in Paraná. Methods: This descriptive-exploratory, documentary field research used a quantitative approach, developed through the analysis of medical records of patients hospitalized in ICUs from January 2014 to December 2023. Results: A total of 5,423 medical records were analyzed, identifying 687 patients who developed sepsis. These patients were 56.3% male and 70.7% older adults, with 82.2% having previous comorbidities. Upon admission, 75.4% had a clinical etiology, predominantly due to respiratory pathologies (24.1%). There was a higher prevalence of septic shock (59.1%). Cases were primarily of community origin (68.1%), had a primary focus of pulmonary infection (37.6%), and resulted in death (64.6%). Conclusion: Sepsis is a serious public health problem and presents high morbidity and mortality rates, especially when associated with cases of septic shock. The importance of developing epidemiological studies is highlighted in order to support the construction of new protocols and public policies.

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