Health Condition 1: D758- Other specified diseases of bloodand blood-forming organs
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients presenting to the ED with suspected sepsis or septic shock based on clinical criteria (e.g. qSOFA,NEWS2 score)
Exclusion criteria
Exclusion criteria: Patients (close relatives in case of unconscious patients) who refuse to give consent;Patients with age less than18 years and more than 65 years;Pregnant women;Known terminal illness with a prognosis of less than 6 months;Contraindications to ultrasound (e.g., extensive body surface area edema);Patients with spinal cord injury.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the impact of combining the 1-hour sepsis bundle with POCUS on clinical outcomes (change in qSOFA, NEWS2, Lactate and Blood Pressure (MAP) ) in patients with sepsis or septic shock presenting to the Emergency Department.Timepoint: Period of one and half years from june 2025 to December 2026. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) To assess the time to intervention (antibiotics, fluids, vasopressors) in sepsis and septic shock patients. 2) To evaluate the accuracy and utility of POCUS in assessing volume status, cardiac function, and identifying potential sources of infection in septic patients. 3) To evaluate the effectiveness of POCUS in the prevention of fluid overload and to rule out differentials. 4) To evaluate change in qSOFA, NEWS2, serum lactate, and blood pressure (MAP) by combining the sepsis one-hour bundle and POCUS after one hour of identifying/ suspecting sepsis or septic shock.Timepoint: Period of one and half years from june 2025 to December 2026. | — |
Countries
India
Contacts
Shija Hospitals and Research Institute