Premium
No association with cardiac death after sepsis: A nationwide observational cohort study
Author(s) -
De Geer Lina,
Oscarsson Tibblin Anna,
Fredrikson Mats,
Walther Sten M.
Publication year - 2019
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.13280
Subject(s) - medicine , sepsis , septic shock , intensive care unit , cohort , intensive care , cohort study , cause of death , organ dysfunction , intensive care medicine , emergency medicine , disease
Background Cardiac dysfunction is a well‐known complication of sepsis, but its long‐term consequences and implications for patients remain unclear. The aim of this study was to investigate cardiac outcome in sepsis by assessing causes of death up to 2 years after treatment in an Intensive Care Unit (ICU) in a nationwide register‐based cohort collected from the Swedish Intensive Care Registry. Methods A cohort of 13 669 sepsis and septic shock ICU patients from 2008 to 2014 was collected together with a non‐septic control group, matched regarding age, sex and severity of illness (n = 6582), and all without preceding severe cardiac disease. For a large proportion of the severe sepsis and septic shock patients (n = 7087), no matches were found. Information on causes of death up to 2 years after ICU admission was sought in the Swedish National Board of Health and Welfare's Cause of Death Registry. Results Intensive Care Unit mortality was nearly identical in a matched comparison of sepsis patients to controls (24% in both groups) but higher in more severely ill sepsis patients for whom no matches were found (33% vs 24%, P < 0.001). There was no association of sepsis to cardiac deaths in the first month (OR 1.03, 95%CI 0.87 to 1.20, P = 0.76) nor up to 2 years after ICU admission (OR 1.01, 95%CI 0.82 to 1.25, P = 0.94) in an adjusted between‐group comparison. Conclusions There was no association with an increased risk of death related to cardiac disease in patients with severe sepsis or septic shock when compared to other ICU patients with similar severity of illness.