Sepsis States at a Surgical Intensive Care Unit in Antananarivo: Epidemiology and Factors Correlated with Morbidity and Mortality

Rahanitriniaina, N. M. P.1, Rakotondrainibe, A.1*, Raelison, J. G.2, Rakotondrabe, A.1, Randriamizao, H. M. R.1, Rajaonera, A. T.1 & Rakotoarison, R. C. N.3

1Service de Réanimation Chirurgicale CHU Joseph Ravoahangy Andrianavalona Antananarivo
2Service accueil triage urgence CHU Joseph Raseta Befelatanana Antananarivo
3Service accueil triage urgence CHU Joseph Ravoahangy Andrianavalona Antananarivo, Faculté de Médecine d’Antananarivo, Université d’Antananarivo - Madagascar

Dr. Rakotondrainibe, A., Service de Réanimation Chirurgicale CHU Joseph Ravoahangy Andrianavalona Antananarivo.

Keywords: Intensive Care; Morbidity; Mortality; qSOFA; Sepsis


Background Sepsis in intensive care are burdened with a high morbidity and mortality. The aim of the study was to determine factors of morbidity and mortality of sepsis at surgical intensive care unit of a Malagasy university hospital.
Patients and Methods
A 24-month descriptive and analytical retrospective study (June 2015 - May 2017) was performed at the surgical intensive care unit of J. R. Andrianavalona University Hospital - Antananarivo. Patients admitted for any stage of sepsis were included. Demographic, clinical and biological characteristics were studied. The results are expressed in median [Interquartiles 25-75%] and in frequency. The Spearman correlation test (XLSTAT® 10.0) was used.
458 patients aged 36 [17-50] years, mostly male (sex ratio: 2.06), were included in our study. Sepsis was present in 73% of patients and septic shock in 37%.

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