30-day mortality in septic shock patients is directly associated with high disease severity score, but not length of emergency department admission

Aim: Aim is to determine factors related to mortality in septic shock patients who transferred from emergency department(ED) to intensive care unit (ICU).
Materials and Methods: We used data from 206 patients, who were admitted to the ED with infection and were diagnosed septic shock between December 2016 and January 2020
Results: Of 206 patients had a mean Glasgow Coma score of 11.42 (range 3-15), mean APACHE-2 (Acute Physiology and Chronic Health Evaluation) score of 21.66 (range 8-49), and mean Sequential Organ Failure Assessment Score (SOFA) of 10.24 (range 2-22). There were no differences in 30-day mortality, renal replacement therapy (RRT) need, or mechanical ventilation (MV) need between patients transferred to the ICU within one hour of ED admission and those transferred to the ICU more than six hours after ED admission (p > 0.05). Those with APACHE-2 score ≥ 20 or SOFA score ≥ 8 had longer MV duration and ICU and hospital stay, greater RRT and MV need, and higher mortality (p < 0.05).
Conclusion: Septic shock patients who have high disease severity scores have a poor prognosis. Length of time between ED admission and ICU admission did not affect patient outcome.