{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:32:27Z","timestamp":1787070747092,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>A retrospective quantitative study of emergency department (ED) management of patients diagnosed with sepsis in a rural hospital in northwest Ontario was conducted to understand the management of sepsis guidelines and department performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Our study includes all adult ED patients (18+) receiving an ED diagnosis of sepsis as identified by hospital medical records coding according to National Ambulatory Care Reporting System diagnostic codes from January 1, 2021 to December 31, 2021. Charts were reviewed for patient demographics, initial presentation, timing of ED management and outcomes. Statistical analysis involved descriptive methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-five adults were eligible, 16 female, average age 53.1 years (standard deviation [SD] = 21.9). Mortality rate was 28%. The average age of the 7 non-survivors was 64 (SD = 14.73). Time to nursing assessment averaged 8 min (SD = 7.27); time to MD assessment was 41 min (SD = 30.93). Canadian Triage and Acuity Scale scores were urgent or higher in 20 of 23 cases. Retrospective Systemic inflammatory Response Syndrome scores were elevated in 17\/25 cases. Average time to fluids administration was 85 min (SD = 79.41). Sixteen of the 23 patients with recorded times of antibiotic delivery received them in 180 min or less.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with sepsis present with a variety of clinical features, and laboratory findings. Awareness of the urgency of sepsis treatment and an organised departmental approach is important in the management of potentially septic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Une \u00e9tude quantitative r\u00e9trospective sur la prise en charge aux urgences des patients diagnostiqu\u00e9s avec une septic\u00e9mie dans un h\u00f4pital rural du nord-ouest de l\u2019Ontario a \u00e9t\u00e9 men\u00e9e afin de comprendre les directives en mati\u00e8re de prise en charge de la septic\u00e9mie et les performances du service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thodes:<\/jats:title>\n                    <jats:p>\n                      Notre \u00e9tude porte sur tous les patients adultes (\u00e2g\u00e9s de 18 ans et plus) admis aux urgences et ayant re\u00e7u un diagnostic de septic\u00e9mie selon le codage des dossiers m\u00e9dicaux de l\u2019h\u00f4pital, conform\u00e9ment aux codes diagnostiques du Syst\u00e8me national d\u2019information sur les soins ambulatoires (SNISA), entre le 1\n                      <jats:sup>er<\/jats:sup>\n                      janvier 2021 et le 31 d\u00e9cembre 2021. Les dossiers ont \u00e9t\u00e9 examin\u00e9s afin de recueillir des donn\u00e9es d\u00e9mographiques sur les patients, les premiers sympt\u00f4mes, le moment de la prise en charge aux urgences et les r\u00e9sultats. L\u2019analyse statistique a \u00e9t\u00e9 r\u00e9alis\u00e9e \u00e0 l\u2019aide de m\u00e9thodes descriptives.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>R\u00e9sultats:<\/jats:title>\n                    <jats:p>Vingt-cinq adultes \u00e9taient admissibles, dont 16 femmes, avec un \u00e2ge moyen de 53.1 ans (\u00e9cart-type = 21,9). Le taux de mortalit\u00e9 \u00e9tait de 28%. L\u2019\u00e2ge moyen des seven patients d\u00e9c\u00e9d\u00e9s \u00e9tait de 64 ans (\u00e9cart-type = 14,73). Le d\u00e9lai moyen avant l\u2019\u00e9valuation infirmi\u00e8re \u00e9tait de 8 min (\u00e9cart-type = 7,27); le d\u00e9lai avant l\u2019\u00e9valuation m\u00e9dicale \u00e9tait de 41 min (\u00e9cart-type = 30,9). Les scores de l\u2019\u00e9chelle canadienne de triage et d\u2019acuit\u00e9 \u00e9taient urgents ou sup\u00e9rieurs dans 20 cas sur 23. Les scores r\u00e9trospectifs du syndrome de r\u00e9ponse inflammatoire syst\u00e9mique \u00e9taient \u00e9lev\u00e9s dans 17 cas sur 25. Le d\u00e9lai moyen avant l\u2019administration de liquides \u00e9tait de 85 min (\u00e9cart-type = 79,41). Seize des 23 patients pour lesquels le d\u00e9lai d\u2019administration des antibiotiques a \u00e9t\u00e9 enregistr\u00e9 les ont re\u00e7us en 180 min ou moins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Les patients atteints de septic\u00e9mie pr\u00e9sentent divers signes cliniques et r\u00e9sultats de laboratoire. Il est important de conna\u00eetre l\u2019urgence du traitement de la septic\u00e9mie et d\u2019adopter une approche organis\u00e9e au sein du service pour prendre en charge les patients potentiellement septiques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/cjrm.cjrm_60_24","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T10:00:22Z","timestamp":1754906422000},"page":"119-124","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Sepsis management in a rural hospital in Northwest Ontario"],"prefix":"10.4103","volume":"30","author":[{"given":"Len","family":"Kelly","sequence":"first","affiliation":[{"name":"Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharen","family":"Madden","sequence":"additional","affiliation":[{"name":"Division of Clinical Sciences, Northern Ontario School of Medicine University, Sioux Lookout, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Wong","sequence":"additional","affiliation":[{"name":"Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Fewer","sequence":"additional","affiliation":[{"name":"Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Shemesh-Lobl","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Sinai Health, Schwartz\/Reisman Emergency Medicine Institute, Toronto, ON, Canada"},{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada"},{"name":"Department of Emergency Medicine, Sheba Medical Center, Ramat-Gan, 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