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KMID : 1143420200130372750
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Public Health Weekly Report
2020 Volume.13 No. 37 p.2750 ~ p.2760
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The Result of an In-depth Investigation to Improve the Management of Sepsis in Korea (1st year)
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Kim Sung-Nam
Bahk Hyun-Jung
Lee Hyung-Min
Lim Chae-Man
Oh Dong-Kyu
Suh Gee-Young
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Abstract
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The numbers of septicemia deaths in Korea has steadily increased, and the social burden caused by sepsis has also rapidly increased. In 2019, the Korea Centers for Disease Control and Prevention (KCDC) promoted policy research to analyze the epidemiological characteristics of patients with sepsis in Korea and to secure supporting data for a national sepsis management policy.
A web-based sepsis data platform was established through the Korea Sepsis Alliance (KSA). The epidemiologic and clinical characteristics of domestic sepsis were analyzed by 2,125 domestic sepsis cases registered from September 2019 to February 2020 (six months) were analyzed. The data analysis revealed 1,720 (80.9%) community onset sepsis (COS) cases, and 405 (19.1%) hospital onset sepsis (HOS) cases. In addition, there were 371.8 cases (COS) per 100,000 patients who visited emergency rooms, 18.0 cases (HOS) of sepsis occurred per 100,000 inpatients, and there were differences in the number of cases according to the type of medical institution. In terms of epidemiological characteristics, the average age of a sepsis patient was 70.1 years of age, and 56.4% of the patients were male.
As a result of analyzing the factors influencing death, COS had a 0.77-fold lower risk of mortality when the group treatment was completed within six hours, compared to other cases. HOS was found to be 0.55 times and 0.62 times lower in terms of the risk of mortality, when group treatment was completed within three and six hours respectively, compared to those without treatment. Prior studies conducted in Korea, confirmed that the rate of performing a bundle treatment within six hours is the most important factor in reducing the risk of death. Based on the findings in this study, a national policy to systematically monitor and manage sepsis is necessary and through continuous research the base for a long-term health care policy targeting domestic sepsis patients will be laid.
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KEYWORD
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Sepsis, Epidemiology, Pathogens, Mortality, Surveillance system, Hospital-acquired infection
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