Table 1 Baseline characteristics of sepsis patients arriving without public prehospital transport, ambulance or MECU to an Acute Medical Unit in a 1-year period
From: Dispatch and prehospital transport for acute septic patients: an observational study
Mode of transport | Â | All N | Without public prehospital transport | Ambulance | MECU |
|---|---|---|---|---|---|
Sex | Total | 1713 | (n = 1,073) | (n = 506) | (n = 134) |
Female | 920 | 601 (56.0%) | 251 (49.6%) | 68 (50.7%) | |
Male | 793 | 472 (44.0%) | 255 (50.4%) | 66 (49.3%) | |
Age in age categories, years | 15–39 | 633 | 437 (40.7%) | 153 (30.2%) | 43 (32.1%) |
40–64 | 815 | 464 (43.2%) | 280 (55.3%) | 71 (53.0%) | |
65–84 | 265 | 172 (16.0%) | 73 (14.4%) | 20 (14.9%) | |
Charlson Comorbidity Index | 0 | 570 | 394 (36.7%) | 140 (27.7%) | 36 (26.9%) |
1 | 415 | 240 (22.4%) | 136 (26.9%) | 39 (29.1%) | |
>2 | 728 | 439 (40.9%) | 230 (45.5%) | 59 (44.0%) | |
Immunosuppression | No | 1362 | 863 (80.4%) | 400 (79.1%) | 99 (73.9%) |
Yes | 351 | 210 (19.6%) | 106 (20.9%) | 35 (26.1%) | |
Sepsis severity | Sepsis | 621 | 390 (36.3%) | 197 (38.9%) | 34 (25.4%) |
Severe sepsis | 1071 | 673 (62.7%) | 302 (59.7%) | 96 (71.6%) | |
Septic shock | 21 | 10 (0.9%) | 7 (1.4%) | 4 (3.0%) | |
Bacteremia | No | 1541 | 967 (90.1%) | 460 (90.9%) | 114 (85.1%) |
Yes | 172 | 106 (9.9%) | 46 (9.1%) | 20 (14.9%) | |
Number of sources of infection per patient | 1 | 1453 | 910 (84.8%) | 428 (84.6%) | 115 (85.8%) |
2 | 242 | 152 (14.2%) | 73 (14.4%) | 17 (12.7%) | |
3 | 18 | 11 (1.0%) | 5 (1.0%) | 2 (1.5%) | |
Sites of infection | Lower respiratory tract | 1077 | 636 (59.3%) | 339 (67.0%) | 102 (76.1%) |
Urinary tract | 415 | 273 (25.4%) | 113 (22.3%) | 29 (21.6%) | |
Abdominal | 184 | 129 (12.0%) | 49 (9.7%) | 6 (4.5%) | |
Skin, muscles, bones | 98 | 78 (7.3%) | 17 (3.4%) | 3 (2.2%) | |
Unknown without bacteremia | 75 | 46 (4.3%) | 26 (5.1%) | 3 (2.2%) | |
Viral/systemic | 42 | 31 (2.9%) | 11 (2.2%) | 0 (0.0%) | |
Unknown with bacteremia | 23 | 11 (1.0%) | 8 (1.6%) | 4 (3.0%) | |
Central nervous system | 18 | 6 (0.6%) | 7 (1.4%) | 5 (3.7%) | |
Cardiovascular | 11 | 7 (0.7%) | 4 (0.8%) | 0 (0.0%) | |
SIRS | Pulse rate | 1314 | 807 (75.2%) | 392 (77.5%) | 115 (85.8%) |
Temperature | 968 | 639 (59.6%) | 263 (52.0%) | 66 (49.3%) | |
Respiratory rate | 1071 | 631 (58.8%) | 343 (67.8%) | 97 (72.4%) | |
Leucocyte count | 1228 | 760 (70.8%) | 368 (72.7%) | 100 (74.6%) | |
SIRS positive criteria, N | 2 | 815 | 523 (48.7%) | 240 (47.4%) | 52 (38.8%) |
3 | 641 | 409 (38.1%) | 178 (35.2%) | 54 (40.3%) | |
4 | 257 | 141 (13.1%) | 88 (17.4%) | 28 (20.9%) | |
Site of organ failure | CNS | 333 | 166 (15.5%) | 116 (22.9%) | 51 (38.1%) |
Metabolic | 226 | 129 (12.0%) | 69 (13.6%) | 28 (20.9%) | |
Cardiovascular | 100 | 58 (5.4%) | 33 (6.5%) | 9 (6.7%) | |
Respiratory | 709 | 471 (43.9%) | 194 (38.3%) | 44 (32.8%) | |
Renal | 106 | 67 (6.2%) | 31 (6.1%) | 8 (6.0%) | |
Hepatic | 55 | 40 (3.7%) | 12 (2.4%) | 3 (2.2%) | |
Coagulation | 209 | 130 (12.1%) | 55 (10.9%) | 24 (17.9%) |