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

Abstract

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.
Results
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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