CLINICAL CHARACTERISTICS AND RESULTS OF TREATMENT OF PATIENTS IN THE FIRST 6 HOURS AT THE EMERGENCY DEPARTMENT OF THAI NGUYEN CENTRAL HOSPITAL

Abstract

The study describes the clinical and subclinical characteristics of septic shock in the first 6 hours and evaluates the results of septic shock treatment. The study subjects included 36 septic shock patients, using a cross-sectional descriptive study method. The results show that the proportion of septic shock patients is more male (61.1%) than female; the average age is 64.5±16.04 years old, the lowest age is 23 years old, the highest age is 97 years old. Primary infection from the respiratory tract is the most common, accounting for 41.67%. Most of the patients with septic shock were hospitalized late when their condition had progressed more than 24 hours, accounting for 55.6%. Patients coming to the hospital awake and alert, slow exposure accounted for 74.8%; the remaining consciousness disorder at the level of glassgow score is very low, there are 3 patients comatose. Most patients have a high fever; There were 02 cases of hypothermia; dyspnea accounted for 86.1%; tachycardia > 90 beats/min in most patients (94.4%); Skin with purple veins accounted for 52.8%, the average SOFA score of the study was 11.2. The number of patients who achieved the treatment goal to keep the mean BP ≥65 mmHg accounted for 91.7% after 6 hours.