An international sepsis survey: a study of doctors' knowledge and perception about sepsis.
An international sepsis survey: a study of doctors' knowledge and perception about sepsis.
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DOI：
10.1186/cc2959
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发表时间：
2004-12
期刊：
影响因子：
--
通讯作者：
Levy M
中科院分区：
文献类型：
--
作者：
Poeze M;Ramsay G;Gerlach H;Rubulotta F;Levy M
为了能够更好地诊断和治疗脓毒症，重要的是不仅要提高有关定义和病理生理学的知识，而且要更多地了解专家对脓毒症当前诊断和治疗的看法和态度。这项研究是通过结构化电话访谈进行的前瞻性国际调查。受试者是重症监护医生和其他护理重症监护病房（ICU）患者的专科医生。接受采访的1058名医生（包括529名重症监护医生）同意脓毒症是ICU死亡的主要原因，脓毒症的发病率正在增加，但脓毒症的症状很容易被错误归因于其他疾病。医生担心这可能会导致败血症的报告不足。三分之二（67%）的人担心缺乏共同的定义，83%的人表示败血症可能经常被遗漏。不超过17%的人同意任何一个定义。人们普遍认识到目前脓毒症定义的不足。照顾脓毒症患者的医生认识到定义和诊断脓毒症的困难，并意识到他们经常错过诊断。
To be able to diagnose and treat sepsis better it is important not only to improve the knowledge about definitions and pathophysiology, but also to gain more insight into specialists' perception of, and attitude towards, the current diagnosis and treatment of sepsis. The study was conducted as a prospective, international survey by structured telephone interview. The subjects were intensive care physicians and other specialist physicians caring for intensive care unit (ICU) patients. The 1058 physicians who were interviewed (including 529 intensivists) agreed that sepsis is a leading cause of death on the ICU and that the incidence of sepsis is increasing, but that the symptoms of sepsis can easily be misattributed to other conditions. Physicians were concerned that this could lead to under-reporting of sepsis. Two-thirds (67%) were concerned that a common definition is lacking and 83% said it is likely that sepsis is frequently missed. Not more than 17% agreed on any one definition. There is a general awareness about the inadequacy of the current definitions of sepsis. Physicians caring for patients with sepsis recognise the difficulty of defining and diagnosing sepsis and are aware that they miss the diagnosis frequently.
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