Severity: Warning
Message: file_get_contents(https://...@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 143
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 143
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 209
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3098
Function: getPubMedXML
File: /var/www/html/application/controllers/Detail.php
Line: 574
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 488
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Severity: Warning
Message: Attempt to read property "Count" on bool
Filename: helpers/my_audit_helper.php
Line Number: 3100
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3100
Function: _error_handler
File: /var/www/html/application/controllers/Detail.php
Line: 574
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 488
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Objective: To investigate the epidemiological characteristics and mortality risk factors of severe sepsis patients admitted into intensive care unit (ICU).
Methods: The clinical data of 419 severe sepsis patients admitted to an adult ICU of Beijing Friendship Hospital from January 2009 to December 2012 were retrospectively analyzed and evaluated. Logistic regression analysis was employed to identify independent risk factors for the death of patients with severe sepsis during ICU stay.
Results: Overall ICU mortality was 43.9% (184/419), and the respiratory tract was the most common site of infection (50.8%), followed by infection of the gastrointestinal tract and abdominal cavity (27.8%), and hematogenous infection (4.3%). Gram-negative bacteria were the most common pathogens [46.0%(214/465)]. Iatrogenic infections accounted for 53.7% (225/419) of the enrolled patients. Logistic regression analysis showed that age [odds ratio(OR)=0.003, 95% confidence interval (95%CI) 1.015-1.056, P=0.000], vasoactive drug application (OR=3.251, 95%CI 1.562-6.768, P=0.002), failure of 3 or more organs (OR=2.452, 95%CI 1.015-5.924, P=0.046), and iatrogenic infection (OR=1.775, 95%CI 0.981-3.221, P=0.046) were independent risk factors for ICU mortality.
Conclusions: Severe sepsis is a common cause of ICU admission. Patients with risk factors for high mortality should be carefully monitored, and aggressive treatment should be administered.
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Source |
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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2014.03.009 | DOI Listing |
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