Table 3.
Patient deterioration outcomes in different timeframes during the patient’s stay in-hospital and divided by infection and sepsis on emergency department presentation
| Acute Kidney Injury | Liver failure | Respiratory failure | Organ failure | ICU admission | In-hospital mortality | Deteriorated | ||
|---|---|---|---|---|---|---|---|---|
| Single | Multiple | |||||||
| Total (N = 359, 100.0%) | ||||||||
| At ED admission | 45 (12.5%) | 21 (5.8%) | 14 (3.9%) | 72 (20.1%) | 4 (1.1%) | – | – | 76 (21.2%) |
| 24 h after ED admission | 51 (14.2%) | 22 (6.1%) | 29 (8.1%) | 82 (22.8%) | 10 (2.8%) | 16 (4.5%) | 1 (0.3%) | 98 (27.3%) |
| 48 h after ED admission | 57 (15.9%) | 23 (6.4%) | 33 (9.2%) | 83 (23.1%) | 15 (4.2%) | 18 (5.0%) | 1 (0.3%) | 102 (28.4%) |
| 72 h after ED admission | 60 (16.7%) | 23 (6.4%) | 35 (9.7%) | 87 (24.2%) | 15 (4.2%) x | 18 (5.0%) | 3 (0.8%) | 106 (29.5%) |
| Until hospital discharge | 70 (19.5%) | 26 (7.2%) | 43 (12.0%) | 87 (24.2%) | 24 (6.7%)xx | 22 (6.1%) | 12 (3.3%) | 112 (31.2%) |
| Infection (N = 82, 22.8%) | ||||||||
| At ED admission | 6 (7.3%) | 4 (4.9%) | 3 (3.7%) | 11 (13.4%) | 1 (1.2%) | – | – | 12 (14.6%) |
| 24 h after ED admission | 7 (8.5%) | 4 (4.9%) | 4 (4.9%) | 11 (13.4%) | 2 (2.4%) | 2 (2.4%) | 0 (0.0%) | 15 (18.3%) |
| 48 h after ED admission | 7 (8.5%) | 4 (4.9%) | 5 (6.1%) | 12 (14.6%) | 2 (2.4%) | 2 (2.4%) | 0 (0.0%) | 15 (18.3%) |
| 72 h after ED admission | 7 (8.5%) | 4 (4.9%) | 5 (6.1%) | 12 (14.6%) | 2 (2.4%) | 2 (2.4%) | 0 (0.0%) | 15 (18.3%) |
| Until hospital discharge | 10 (12.2%) | 6 (7.3%) | 6 (7.3%) | 14 (17.1%) | 4 (4.9%) | 3 (6.7%) | 1 (1.2%) | 18 (22.0%) |
| Sepsis (N = 277, 77.2%) | ||||||||
| At ED admission | 39 (14.1%) | 17 (6.1%) | 11 (4.0%) | 61 (22.0%) | 3 (1.1%) | – | – | 64 (23.1%) |
| 24 h after ED admission | 44 (15.9%) | 18 (6.5%) | 25 (9.0%) | 71 (25.6%) | 8 (2.9%) | 14 (5.1%) | 1 (0.4%) | 83 (30.0%) |
| 48 h after ED admission | 50 (18.1%) | 19 (6.9%) | 28 (10.1%) | 71 (25.6%) | 13 (4.7%) | 16 (5.8%) | 1 (0.4%) | 87 (31.4%) |
| 72 h after ED admission | 53 (19.1%) | 19 (6.9%) | 30 (10.8%) | 75 (27.1%) | 13 (4.7%)x | 16 (5.8%) | 3 (1.1%) | 91 (32.9%) |
| Until hospital discharge | 60 (21.7%) | 20 (7.2%) | 37 (13.4%) | 73 (26.4%) | 20 (7.2%) xx | 19 (6.9%) | 11 (4.0%) | 94 (33.9%) |
ED: emergency department; x of which one patient with all three organ systems failing; xx of which four patient with all three organ systems failing