Survey on knowledge of hour-1 bundle therapy for sepsis and septic shock among emergency physicians of secondary general hospital in Huai′an city
10.3760/cma.j.cn114798-20200417-00472
- VernacularTitle:淮安地区二级综合医院急诊医师对脓毒性休克1 h集束化治疗策略了解状况的问卷调查
- Author:
Zhiwei GAO
1
;
Weiqin WU
;
Liang XU
;
Qingsong SUN
;
Hongmei ZHAO
;
Hong SUN
;
Jinsong ZHANG
Author Information
1. 南京医科大学附属淮安第一医院急诊医学科 223300
- From:
Chinese Journal of General Practitioners
2020;19(10):931-934
- CountryChina
- Language:Chinese
-
Abstract:
During the Huai′an Emergency Alliance meeting in January 2020, 143 emergency physicians from 21 level Ⅱ general hospitals in the region who attended the meeting, participated in a questionnaire survey on the knowledge of hour-1 bundle therapy for septic shock. The average score of the correct answer was (5.4±2.9), that for senior ( n=39), intermediate ( n=50) and primary ( n=54) physicians was (6.4±3.3), (6.0±3.2) and (3.4±1.9), respectively ( P<0.01); the rate of failure (≤5) for them was 28% (11/39), 40% (20/50) and 56% (30/54) ( P=0.03), respectively. The hour-1 bundle was summarized into four measures. For the measure of "blood culture", 95% of all levels emergency physicians answered correctly. In answering question of "liquid resuscitation and vasoactive drugs" the accurate rate was 15% (6/39), 24% (12/50) and 7% (4/54) for senior, intermediate and primary physicians; while in answering questions about other measures the overall correct rates were all around 50%. The correct rate for "time of implementing the bundle" in intermediate, senior and primary physicians was 60% (30/60), 59% (23/39) and 44% (24/54); for "monitoring lactate timing" in intermediate, senior and primary physicians was 64% (32/50), 80% (31/39) and 65% (35/54); for the target value of "MAP" was 68% (34/50), 62% (24/39) and 50%(27/54); for the "use time of vascular active drug" was 50% (25/50), 46% (18/39) and 17% (9/54), respectively. The survey suggested that the knowledge of hour-1 bundle therapy for septic shock among emergency physicians in Huai′an secondary general hospitals are insufficient, and relevant training should be strengthened.
