The Surviving Sepsis Campaign Bundle: 2018 Update
The Surviving Sepsis Campaign Bundle: 2018 Update
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DOI：
10.1097/ccm.0000000000003119
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发表时间：
2018-06-01
影响因子：
8.8
通讯作者：
Rhodes, Andrew
中科院分区：
文献类型：
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作者：
Levy, Mitchell M.;Evans, Laura E.;Rhodes, Andrew
从2004年首次发布基于证据的指南到随后的版本，“脓毒症包”一直是实施存活脓毒症运动（SSC）的核心[1-6]。独立于SSC发布的指南，自2005年以来，这些包已成为脓毒症质量改善的基石[7-11]。正如介绍它们时所指出的那样，这些束元素被设计为根据新的证据进行更新，并相应地发展。为响应《脓毒症生存运动：脓毒症和脓毒性休克管理国际指南：2016》的出版[12,13]，修订后的“1小时包”已被开发出来，如下图所示（图1）。文献中令人信服的证据表明，在脓毒症和感染性休克患者中，遵守捆绑治疗与提高生存率之间存在关联，这导致国家质量论坛（NQF）以及随后纽约州（NYS）卫生部（[14]）和美国医疗保险和医疗补助服务中心（CMS）[15]采用SSC措施进行强制性公开报告。捆绑包和生存之间的重要关系在纽约倡议b[16]的出版物中得到证实。
The “sepsis bundle” has been central to the implementation of the Surviving Sepsis Campaign (SSC) from the first publication of its evidence-based guidelines in 2004 through subsequent editions [1–6]. Developed separately from the guidelines publication by the SSC, the bundles have been the cornerstone of sepsis quality improvement since 2005 [7–11]. As noted when they were introduced, the bundle elements were designed to be updated as indicated by new evidence and have evolved accordingly. In response to the publication of “Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016”[12, 13], a revised “hour-1 bundle” has been developed and is presented below (Fig. 1).The compelling nature of the evidence in the literature, which has demonstrated an association between compliance with bundles and improved survival in patients with sepsis and septic shock, led to the adoption of the SSC measures by the National Quality Forum (NQF) and subsequently both by the New York State (NYS) Department of Health [14] and the Centers for Medicare and Medicaid Services (CMS)[15] in the USA for mandated public reporting. The important relationship between the bundles and survival was confirmed in a publication from this NYS initiative [16].