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In an era of limited health service resources, a protocol that could discharge patients safely within an hour of presentation is extremely attractive.
While 61% of these patients received antibacterials within the first 6 hours, only 37.8% received them within the first hour of presentation.
In addition, while data suggest that survival of septic patients improves when antibacterials are provided within the first hour of presentation, a small subset (∼1/3) of study patients received their antibacterials within this time frame [37].
About half (53%) of patients received at least some IV fluid within the first hour of presentation while 28% waited between 1 to 6 hours; 14% of patients received no fluid within the first 6 hours of presentation.
Although few studies have looked at the direct effect of early fluid resuscitation volumes on clinical outcomes of patients with sepsis, one study reported that septic children receiving 40 mL/kg within the first hour of presentation were significantly less likely to die than those receiving less fluid [34].
Only 29% of patients received intravenous fluids within 1 hour of presentation.
Similar(50)
We've had an hour of presentations.
The group sat patiently through more than an hour of presentations about city services and privacy policies, but at the end, few questions touched on any of the programs mentioned.
Self-styled leaders of "the resistance" sipped cocktails around a heated outdoor pool, debated voter outreach strategies under the chandeliers of a piano bar and listened to hour after hour of presentations about What Went Wrong and how to right it.
While some studies found that increased mortality associated with delays were present solely within the first few hours of presentation and then plateaued, 7 14 others had suggested the reverse a risk that was initially unchanged and increased only after a few hours of delay.
("Cheeses were sliced into cubes using a wire slicer within two hours of presentation. Cheeses were tightly wrapped in foil prior to presentation").
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com