Sepse: risk factors in patients admitted to a hospital in Teresina, Piaui

Objective: To analyze the epidemiological profile of patients with sepsis and the worsening factors in a university hospital. Method: This is an observational, cross-sectional, descriptive and retrospective study with medical records of patients who had a clinical diagnosis of sepsis. It was carried out at the University Hospital of the Universidade Federal do Piaui. Correlated “quick SOFA” score criteria - qSOFA (inpatient unit) and Sequential Organ Failure Assessment - SOFA (Intensive Care Unit), for sepsis. 209 records with sepsis were analyzed during January / 2018 to January / 2019. Results: The hospitalization profile was equivalent for both sexes with an average age of 60 years, average hospitalization time (64.5 days), and 57.9% of deaths. Hospitalizations in the intensive care unit were 32.5%, with vascular focus admission disease (27.3%) and neoplasms (22.5%); Urinary tract infection not associated with catheter-ITU-AC (23.4%) and Primary bloodstream infection-laboratory IPCS (17.7%), the microbials prevalent in Klebsiella pneumoniae (20.6%) and Acinetobacter baumannii (16.3%), respectively multidrug resistant (MDR), 79.1% and 85.3%. Associations of risk factors for worsening sepsis: age group and length of stay (p = 0.0034), MDR bacteria and length of stay (p = 0.0001), surgical procedure and neoplasia (p = 0.0071) and disease admission rate Infection and death (p = 0.0246). Conclusion: The risk factors for worsening sepsis and their associations have an interaction relationship, and lead to believe in the influence of health conditions and unfavorable outcomes for septic patients.