Lethality in patients with complicated diabetic foot syndrome and signs of sepsis in accordance to recommendations «Sepsis-3»
Abstract
Objective. To conduct analysis of lethality indices in patients with sepsis on background of complicated diabetic foot syndrome (DFS), taking into account a protocol of Conciliation Conference (1992) and recommendations of ІІІ International Consensus for determination of sepsis and septical shock («Sepsis-3»).
Маterials and methods. There were analyzed 938 medical files of patients, suffering complicated DFS. In 92 (9.8%) patients the disease was complicated by sepsis. In accordance to «Sepsis-3» recommendations a new scale was applied during examination near the bed - qSOFA.
Results. Аnalysis of lethal cases, taking into account «Sepsis-3» recommendations, have shown, that some forms of septic process were referred to complicated unjustifiably, i. e. their quantitative value in accordance to qSOFA scale did not exceeded 1 point. This gave possibility to determine a sepsis as the death cause in 5 (11.9%) patients, аnd as a septic shock - in 37 (88.1%).
Conclusion. The «Sepsis-3» recommendations introduction into clinical practice would prevent disagreements while the diagnosis determination. It is possible without significant material expenses and rapidly to differentiate sepsis and septical shock, using qSOFA scale.
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