Baqiyatallah University of Medical Sciences Hospital Practices and Research 2476-390X 5 4 2020 12 01 Sepsis at ICU Admission Increases the ICU Mortality Rates Among Very Long ICU Stay Patients: A Secondary Analysis 134 140 120754 10.34172/hpr.2020.26 EN Farshid Rahimibashar Department of Anesthesiology and Critical Care, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran 0000-0001-8818-7209 Mahmood Salesi Chemical Injuries Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0003-3042-2143 Amir Vahedian-Azimi Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0002-1678-7608 Masoum Khosh Fetrat Department of Anesthesiology and Critical Care, Khatamolanbia Hospital, Zahedan University of Medical Sciences, Zahedan, Iran 0000-0003-0346-9114 Journal Article 2020 10 13 <strong>Background: </strong>Sepsis is a very common serious medical condition among patients admitted to the intensive care units (ICUs) that increases with age and ICU length of stay (LOS).<br /> <strong>Objectives: </strong>The primary goal of this study was to estimate the mortality rate due to sepsis among adult patients admitted to the mixed medical–surgical ICUs for a long time. The secondary goal was to identify factors associated with predicting ICU mortality in individuals with long-term ICU LOS.<br /> <strong>Methods: </strong>Adult patients admitted to the medical ICU for a long time (≥75 days) were included in this retrospective secondary analysis study. Baseline demographic, clinical, and laboratory data were recorded upon inclusion in the study.<br /> <strong>Results:</strong> ICU mortality occurred in 78 (43.1%) patients, out of 188 participants. A greater portion of patients with sepsis at admission (62.7%) were observed in the death group (59.2% vs. 30.8%, <em>P </em>< 0.001), than the survivor group. Additionally, survived patients differed significantly in terms of age, family engagement, baseline cognitive impairment, activity, nurse anticipated turnover scale (ATS), duration of a mechanical ventilator (MV), and ICU LOS. The results of multivariate binary logistic regression showed that the older age and low family intervention can increase the risk of mortality in patients with sepsis at the time of admission, with a long ICU LOS.<br /> <strong>Conclusion: </strong>Our findings are crucially important to increase the awareness of the impact of sepsis, highlight the need for continued research into potential preventive and therapeutic interventions, and help guide resource allocation. https://www.jhpr.ir/article_120754_6a4487bdcda4e887fa1e3e6c4667753d.pdf