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In-hospital Mortality Associated with the Misdiagnosis or Unidentified Site of Infection at Admission

In-hospital Mortality Associated with the Misdiagnosis or Unidentified Site of Infection at Admission

Rapid detection, early resuscitation, and appropriate antibiotic use are crucial for sepsis care. Accurate identification of the site of infection may facilitate a timely provision of appropriate care. We aimed to investigate the relationship between misdiagnosis of the site of infection at initial examination and in-hospital mortality. Among patients with infection, misdiagnosed site of infection is associated with a > 10% increase in in-hospital mortality. Of 974 patients included in the analysis, 11.6% were misdiagnosed. Patients diagnosed with lung, intra-abdominal, urinary, soft tissue, and CNS infection at the initial examination, 4.2%, 3.8%, 13.6%, 10.9%, and 58.3% respectively, turned out to have an infection at a different site. This was a secondary-multicenter prospective cohort study involving 37 emergency departments.

CriticalCare.news
June 10, 2019

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