Narani Sivayoham

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AIM To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and septic shock. METHOD A survey of 173 EDs in England was carried out over a 2-month period starting in March 2006. RESULTS 117 (67.6%) departments responded. 22(More)
OBJECTIVES The aim of this study was to determine the outcome of patients with severe sepsis and septic shock who did and did not receive early goal-directed therapy (EGDT) in the emergency department (ED). The primary end point was the in-hospital mortality rate. The secondary end points were lengths of stay in the ICU and in hospital. METHOD Patients(More)
OBJECTIVE To derive and validate a new scoring system to predict in-hospital mortality in septic patients in the emergency department (ED). PATIENTS AND METHOD Septic patients admitted to the ICU and those in whom early goal-directed therapy (EGDT) was carried out in the ED were identified from the ED record. Univariate and multivariate regression(More)
BACKGROUND The MISSED score was derived and validated in emergency department (ED) patients with sepsis who were admitted to the ICU. This score has now been refined and simplified. The independent variables associated with mortality are age at least 65 years, serum albumin 27 g/l or less, and an international normalized ratio at least 1.3. The simplified(More)
Emergency Departments (ED) have a pivotal role in managing patients with severe sepsis and septic shock. In our survey in 2006, 20.5% EDs in England were able to commence the pathway to Early Goal-Directed Therapy (EGDT). We repeated the survey in 2011 to evaluate any change in 5 years. One hundred and eighty-five EDs were surveyed using a form similar to(More)
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