作者
Ricard Ferrer, Antonio Artigas, Mitchell M Levy, Jesus Blanco, Gumersindo Gonzalez-Diaz, José Garnacho-Montero, Jordi Ibanez, Eduardo Palencia, Manuel Quintana, María Victoria De La Torre-Prados, Edusepsis Study Group
发表日期
2008/5/21
期刊
Jama
卷号
299
期号
19
页码范围
2294-2303
出版商
American Medical Association
简介
Context
Concern exists that current guidelines for care of patients with severe sepsis and septic shock are followed variably, possibly due to a lack of adequate education.
Objective
To determine whether a national educational program based on the Surviving Sepsis Campaign guidelines affected processes of care and hospital mortality for severe sepsis.
Design, Setting, and Patients
Before and after design in 59 medical-surgical intensive care units (ICUs) located throughout Spain. All ICU patients were screened daily and enrolled if they fulfilled severe sepsis or septic shock criteria. A total of 854 patients were enrolled in the preintervention period (November-December 2005), 1465 patients during the postintervention period (March-June 2006), and 247 patients during the long-term follow-up period 1 year later (November-December 2006) in a subset of 23 ICUs.
Intervention
The educational program consisted of …
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