After recognizing long lengths of stay and higher mortality in several patients with new onset afib and sepsis, we decided to look into this group a bit further. We completeted a retrospective analysis of 274 septic patients with afib. Conclusion: a statistically significantly higher mortality was observed in critically ill septic patients with new-onset AF, as were longer duration of mechanical ventilation, ICU, and hospital LOS. Whether the higher incidence of AF in septic patients is a specific risk factor for outcome or an indication of severity of illness remains to be determined
Clinical characteristics and outcomes of septic patients with new-onset atrial fibrillation.<http://www.ncbi.nlm.nih.gov/pubmed/19056018> Christian SA, Schorr C, Ferchau L, Jarbrink ME, Parrillo JE, Gerber DR. J Crit Care. 2008 Dec;23(4):532-6. doi: 10.1016/j.jcrc.2007.09.005. Christa ________________________________ From: Dellinger, Phil Sent: Friday, December 28, 2012 8:20 AM To: [email protected]; [email protected]; [email protected] Cc: Schorr, Christa Subject: RE: Tachycardia and Atrial Fibrillation As I recall Christa Schorr and some of our docs published something on AFib and sepsis. Christa? From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, December 27, 2012 8:03 AM To: [email protected]; [email protected] Subject: Re: [Sepsis Groups] Tachycardia and Atrial Fibrillation It might be a problem as a screening criteria especially if you have a robust cardiac population; however, new onset AF is seen among Septic patients as I have found in our data set. I do recall reading about AF in Sepsis in a published paper but can't recall the author. There is published data out there on this topic. From: [email protected]<mailto:[email protected]> [mailto:[email protected]] On Behalf Of Ash, Samantha Sent: Wednesday, December 26, 2012 2:48 PM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Tachycardia and Atrial Fibrillation One of our Intensivist was asking about including Atrial Fibrillation with a RVR as one of the SIRS Symptoms. He felt this may give some false positive for meeting two SIRS criteria for sepsis. Have you found this a problem? Samantha Ash RN, BSN, MSN Director of Critical Care Services [cid:[email protected]] 2900 First Avenue, Huntington, WV 25702 Telephone: 304-526-8249 Email: [email protected]<mailto:[email protected]> Important Notice: This e-mail message and any attachments are from the above sender at St. Mary's Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments. Important Notice: This e-mail message and any attachments are from the above sender at St. Mary's Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments. **************************************************************** This communication, including attachments, may contain information that is confidential. It constitutes non-public information intended to be conveyed only to the designated recipient(s). If the reader or recipient of this communication is not the intended recipient, employee, or agent of the intended recipient who is responsible for delivering it to the intended recipient, or you believe that you have received this communication in error, please notify the sender immediately by return e-mail or telephone and promptly delete this e-mail, including attachments without reading them or saving them in any manner. The unauthorized use, dissemination, distribution, or reproduction of this e-mail, including attachments, is prohibited and may be unlawful.
<<inline: image001.jpg>>
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
