Tỷ lệ hoàn thành gói hồi sức trong giờ đầu và các kết cục liên quan ở trẻ sốc nhiễm khuẩn

Septic shock is a common clinical syndrome in the pediatric intensive care unit. Adherence to the treatment regimen reduces mortality. Objectives: To access the rate of completing the first hour resuscitation bundle according to the American College of Critical Care Medicine ACCM 2017 and outcomes in pediatric septic shock in the emergency department at Children’s Hospital 2. Methods: Retrospective, descriptive study of patients with septic shock f-rom 1 month to 15 years old in the emergency department at Children’s Hospital 2 f-rom January 2018 to December 2019. Results: 68 patients of septic shock were included in the study. The rate of completing the first hour resuscitation bundle was 29.4%. 94.1% of patients had intraosseous or IV access within 5 minutes; 35.3% of patients adhered to fluid resuscitation; 94.1% of patients received appropriate antibiotics within 60 minutes; blood cultures were obtained in 98.5% of patients; 64.7% of patients adhered to vasopressors protocol. Overall mortality was 60.3%. The mortality rate of the group that completed the first hour resuscitation bundle was 40% lower than the mortality rate of noncompletion group 68.7% (p <0.05). Conclusions: The rate of completing the first hour resuscitation bundle was not high. The mortality rate of completion the first hour resuscitation bundle group was lower than noncompletion group.