Revista Brasileira de Enfermagem (Sep 2021)

Prevalence and factors associated with sepsis and septic shock in oncological patients in intensive therapy

  • Miriam Maria Mota Silva,
  • Danielle Samara Tavares de Oliveira-Figueiredo,
  • Adilma da Cunha Cavalcanti

DOI
https://doi.org/10.1590/0034-7167-2020-1338
Journal volume & issue
Vol. 75, no. 1

Abstract

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ABSTRACT Objectives: to analyze factors associated with sepsis and septic shock in cancer patients in the Intensive Care Unit. Methods: cross-sectional, retrospective study with a quantitative approach, with a sample of 239 patients in an oncology hospital. Secondary data from medical records were used. The outcome variable was “presence of sepsis and/or septic shock”; and exposures: sex, length of stay, origin, use of invasive procedures and primary tumor site. Descriptive, bivariate analyzes and multiple logistic regression models were performed. Results: the prevalence of sepsis was 95% CI: 14.7-24.7 and septic shock of 95% CI: 37.7-50.3. In the multiple analysis, sepsis and/or septic shock were associated with hospital stay longer than seven days, being from the Emergency Department, presence of invasive procedures and hematological site. Conclusions: sepsis and/or septic shock in cancer patients were associated with clinical characteristics and health care factors.

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