Research Article

The Impact of EGDT on Sepsis Mortality in a Single Tertiary Care Center in Lebanon

Table 3

Resuscitation parameters.

Protocol N= 145Control N= 145p-value

Vital signs after 6 hours

Continuous mean ± SD

SBP (mmHg)103.3 ± 19.9104.7 ± 18.90.595

DBP (mmHg)57.2 ± 13.059.1 ± 14.50.243

MAP (mmHg)69.8 ± 13.873.9 ± 14.90.022

HR (bpm)92.4 ± 21.091.9 ± 20.000.834

O2 Saturation ()96.0 ± 11.297.1 ± 6.80.394

Temperature (°C)37.3 ± 0.937.4 ± 5.90.781

RR (breath/min)21.8 ± 5.521.0 ± 4.30.166

Resources variables

Continuous mean ± SD

IV fluid requirements at first 6 hrs (L)3.8 ± 1.72.7 ± 2.0<0.001

IV fluid requirements at first 24 hrs (L)6.1 ± 2.14.9 ± 2.8<0.001

Time to initiation of antibiotics (hrs)2.0 ± 3.62.8 ± 2.60.054

Time to vasopressor/inotrope use within the 1st 24hrs (hrs)9.1 ± 22.67.7 ± 7.00.67

Duration of vasopressor/inotrope treatment within 1st 24hrs (hrs)50.9 ± 649.640.0 ± 56.10.234

Categorical No ()

Vasopressor/inotrope use within 1st 24hrs88 (60.6)52 (35.8)<0.001

CVC placement29 (21.2)14 (9.9)0.010

Mechanical ventilation31 (21.5)23 (15.9)0.217

Steroid use50 (34.5)54 (37.2)0.624

Antibiotic use143 (98.6)145 (100.0)0.155

Appropriate antibiotic use191 (97.8)%75 (91.5)0.056

Antibiotics initiation in the ED136 (93.8)144 (99.3)0.010

Antibiotics initiation in the ICU4 (2.8)1 (0.7)0.176

Antibiotics initiation in the GPU3 (2.1)0 (0)0.082

use of antibiotics was defined as preliminary antibiotic given in the first 48hrs of treatment covering the bacteria grown later in bacteriology.