Mohamed Hendawy Moussa Said Ahmed
Cairo University, Egypt
Title: Relationship between sepsis, systemic inflammatory response syndrome and body mass index among adult trauma patients at University Hospital in Cairo
Biography
Biography: Mohamed Hendawy Moussa Said Ahmed
Abstract
Sepsis is a major cause of mortality and morbidity in trauma patients. Body mass index was reported as a predictor of injury pattern and complications among critically ill injured patients. Aim: investigate the relationship between body mass index and the development of sepsis, systemic inflammatory response syndrome among adult trauma patients. Research design: Descriptive correlational. Research questions: What is the relationship between the development of sepsis, systemic inflammatory response syndrome and body mass index among adult trauma patients?. Sample: A purposive sample of 52 adult trauma patients with revised trauma score 10 to 12. Setting: The Emergency Hospital - Cairo University. Tools: Socio demographic and medical data tool, Systemic inflammatory response syndrome assessment tool, Revised Trauma Score tool, and Sequential organ failure assessment tool. Results: No significant statistical relationship was found between body mass index and occurrence of Systemic inflammatory response syndrome (ï£2= 2.89 & P = 0.23). However, Sequential organ failure assessment scores were affected significantly by body mass index was found mean of initial and last Sequential organ failure assessment score for underweight, normal and obese where t= 7.24 at p = 0.000, t= 16.49 at p = 0.000 and t= 9.80 at p = 0.000 respectively. Conclusion: Underweight trauma patients showed significantly higher rate of developing sepsis. Recommendations: Carrying out of further studies in order to assess the other risk factors influencing trauma outcome and incidence of its complications. Establishment of standardized guidelines for managing underweight traumatized patients with sepsis.