Mortality of adult patients due to sepsis and septic shock in South Korea: a systematic review and metaanalysisopen access
- Authors
- Namgung, Myeong; Ahn, Chiwon; Park Yeonkyung; Kwak, Il-Youp; Lee, Jungguk; Won, Moonho
- Issue Date
- Jun-2023
- Publisher
- 대한응급의학회
- Keywords
- Sepsis; Septic shock; Mortality; Republic of Korea; Meta-analysis
- Citation
- Clinical and Experimental Emergency Medicine, v.10, no.2, pp 157 - 171
- Pages
- 15
- Journal Title
- Clinical and Experimental Emergency Medicine
- Volume
- 10
- Number
- 2
- Start Page
- 157
- End Page
- 171
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/69774
- DOI
- 10.15441/ceem.23.005
- ISSN
- 2383-4625
2383-4625
- Abstract
- Objective: To evaluate mortality from sepsis and septic shock in Korea during the past 10 years, we conducted a systematic review and meta-analysis. Methods: We searched six databases for studies on mortality from sepsis and septic shock in adult patients. Primary outcomes were 28- or 30-day mortality and in-hospital mortality from sepsis and septic shock. To assess the risk of bias, we used the Newcastle-Ottawa Scale and Risk of Bias 2 tools. The protocol is registered in PROSPERO (No. CRD42022365739). Results: A total of 61 studies were included. The mortality rates from sepsis and septic shock at 28 or 30 days were 22.7% (95% confidence interval [CI], 20.0%–25.6%; I2=89%) and 27.6% (95% CI, 22.3%–33.5%; I2=98%), respectively, according to the Sepsis-3 criteria. Furthermore, in accordance with the Sepsis-3 criteria, the in-hospital mortality rates were 28.1% (95% CI, 25.2%–31.1%; I2=87%) and 34.3% (95% CI, 27.2%–42.2%; I2=97%), respectively. Conclusion: The mortality rates from sepsis and septic shock in Korea are high. In the case of septic shock, the in-hospital mortality rate is approximately 30%.
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