Document Type : Original Article
Authors
1
Emergency and Critical Care Nursing Department, Faculty of Nursing, Mansoura University, El-Mansoura, Egypt. and Emergency and Critical Care Nursing Department, Faculty of Nursing, King Abdulaziz University, Jedda, Saudi Arabia.
2
Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jedda, Saudi Arabia.
3
Medical education unit, king Abdulaziz university hospital, Jedda, Saudi Arabia
4
Emergency and Critical Care Nursing Department, Faculty of Nursing, Mansoura University, El-Mansoura, Egypt.
10.21608/ejhc.2025.433438
Abstract
Background: Sepsis remains one of the leading causes of mortality in emergency care, with delayed recognition and treatment contributing significantly to poor outcomes.Early identification and treatment using standardized protocolscan improve patient outcomes. However, inconsistent adherence to these protocols and limited evidence on their impact in emergency departments highlight the need for further research. Aim: The study aims to explore the effectiveness of early sepsis resuscitation bundles amongpatient’s initial outcomes at emergency department.Study Design: A quasi-experimentalstudy was carried out on 100 adults admitted to the emergency unit atEmergency hospital, El Mansoura, Egypt. Samplewas distributed on two groups; the bundle group and non-bundle group. Sepsis Screening Sheet and Sepsis Management Flow-chartwere used to gather data from research subjects. Results: Significant improvement in patient’s initial outcomes was discovered (p≤0.05) among patients in the bundle received group more than control group as reflected by reduction in overall mortality rate(14%vs.28%, P = 0.021), APACHE score(26.969±9.93 versus 43.541±15.63, P=0.044), QSOFA score(1.960 ± 0.63 vs. 2.68 ± 0.71), mechanical ventilation therapy(14% vs. 28%), length of stay in emergency department group (4.842 ± 2.73versus 1.76 ± 0.823, P = 0.029)and admission to ICU(14%vs. 40%).Conclusion: Nurses play a key role in the early detection of sepsis and the prompt initiation of necessary care, which are essential in reducing patient decline and improving clinical prognosis. Research indicates that applying the sepsis treatment bundle within three hours of a patient's arrival to the emergency department correlates with more favorable early outcomes in those diagnosed with sepsis. Recommendation: Implementing an early sepsis bundle within 3 hours of sepsis recognition at the ED, in addition toperform another researches are forcibly recommended.
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