Volume 23 Issue 1
Jan.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(1): 140-142
CHEN Xiaolei, WU Huihui, ZHANG Qixia, MU Jingjing, WU Xiaoxiao. Effectiveness of an intelligent warning system in bundle therapy for septic shock patients[J]. Chinese Journal of General Practice, 2025, 23(1): 140-142. doi: 10.16766/j.cnki.issn.1674-4152.003853
Citation: CHEN Xiaolei, WU Huihui, ZHANG Qixia, MU Jingjing, WU Xiaoxiao. Effectiveness of an intelligent warning system in bundle therapy for septic shock patients[J]. Chinese Journal of General Practice, 2025, 23(1): 140-142. doi: 10.16766/j.cnki.issn.1674-4152.003853
shu

Effectiveness of an intelligent warning system in bundle therapy for septic shock patients

doi: 10.16766/j.cnki.issn.1674-4152.003853

  • Department of ICU, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2021KY792

 Y20220577

  • Received Date: 2024-03-19
    Available Online: 2025-02-13
    Abstract
  •   Objective   To explore the effect of an intelligent warning system on the management of Intensive Care Unit (ICU) patients with septic shock and to improve the treatment effect.   Methods   A total of 129 patients with septic shock in the ICU of the First Affiliated Hospital of Wenzhou Medical University from January to December 2022 were taken as the control group, and 117 patients from February to December 2023 were taken as the observed group. The control group implemented the comprehensive management of conventional bundle therapy, while the observed group adopted the intelligent warning system of septic shock for disease management.   Results   The completion rate of 1 h and 3 h bundle therapy in the observation group was higher than that of the control group [1 h completion rate: 98/117 (83.8%) vs. 90/129(69.8%); 3 h completion rate: 104/117 (88.9%) vs. 101/129 (78.3%), P < 0.05]. There was no significant difference in the completion rate of 6 h treatment (P>0.05). The lactate level in the observation group was lower than that of the control group, while the 6 h lactate clearance rate was higher than that of the control group (P < 0.05). There was no significant difference between mean arterial pressure and central venous pressure in the two groups (P>0.05). The central venous oxygen saturation and end-tidal partial carbon dioxide pressure in the observation group were significantly higher than that in the control group (P < 0.05). The length of ICU stay in the observation group [(11.73±2.67) d] was shorter than that in the control group [(13.04±2.85) d, t=3.722, P < 0.05]. There was no significant difference in 28 d mortality in the two groups (P>0.05). There was a statistically significant improvement in satisfaction scores for medical staff after implementing the early warning system (P < 0.05).   Conclusion   The intelligent warning system improves the completion rate of bundle treatment for septic shock patients, reduces the serum lactate levels, enhances the 6 h lactate clearance rate, and increases the medical staff satisfaction, making it worthy for clinical promotion and application.

     

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