Accurate diagnosis is important… National testing and health insurance expanded by 100%… 20-30% die within a month of diagnosis
Posted on 01.06.2024 at 10.10am Views 74 Posted on 01.06.2024 at 10.10am Modified 01.5.2024 10.52pm Views 74
Sepsis is not limited to the famous “Vibrio sepsis”. It is a deadly disease that is infected by various germs, bacteria and fungi. Infections within hospitals are particularly serious. [사진=게티이미지뱅크]Sepsis (blood poisoning) is a very scary disease, but most people are unaware of it. Sepsis is a condition that causes a severe immunological overreaction to infections. One study found that 40% of sepsis patients were unable to return to work even two years after infection.
A research team from the Norwegian University of Science and Technology (NTNU) said this is the result of a survey and analysis of 36,000 sepsis patients aged between 18 and 60.
According to the World Health Organization (WHO), one in five deaths worldwide is due to sepsis. Sepsis is a serious disease in which various organs do not function properly due to organ failure. Vibrio sepsis occurs when you eat fish or shellfish and the Vibrio bacteria invade the skin through a wound. However, sepsis can be caused not only by bacteria but also by various viruses and molds. In particular, there are many cases of contagion within hospitals.
If you contract sepsis, you will have health problems for years and your quality of life will plummet. Many survivors develop new chronic illnesses or experience worsening underlying conditions. Organ failure and intensive care can make even daily activities difficult, significantly impacting your ability to work.
“It’s not just Vibrio septicemia” Infection with various bacteria, viruses and fungi… Nosocomial infections are also serious.
“You might think that sepsis only affects older people,” said Dr. Nina Viveche Skye, an anesthesiologist at Levanger Hospital and first author of the study. However, one third of sepsis patients are between the ages of 18 and 60. “This has many consequences,” she said. Sepsis causes many people to lose their jobs, sometimes putting their careers on hold for years.
The research team studied the impact of sepsis on workplaces in Norway. The research team’s goal is to find out how well sepsis patients return to work 6 months, 1 year and 2 years after discharge. According to the study results, only about 59% of sepsis patients returned to work six months after discharge. After one year it was about 67%, and after two years it was about 63%. This means that approximately 40% of sepsis patients are still unemployed two years after discharge.
Patient groups who are more likely to return to work after treatment for sepsis include younger people, those with fewer chronic illnesses, and those with less severe organ failure. Patients aged 50 to 60 were 31% less likely to return to work than patients aged 18 to 30. People suffering from chronic illnesses or suffering from multiple organ failure have significantly reduced chances of returning to work. Specifically, patients requiring intensive care in the intensive care unit were 50% less likely to return to work than patients admitted to general wards. These differences depend on the severity of sepsis in patients requiring intensive care.
However, people who developed sepsis due to COVID-19 were 31% more likely to return to work than other sepsis patients. Among Norwegian patients with sepsis, the proportion of people working two years after being discharged from hospital fell from 70% in 2016 to 57% in 2019. A thorough investigation of the cause is needed.
Approximately 20-30% of patients who develop sepsis die within 30 days. Sepsis is an acute disease that can increase the risk of death by up to 7-9% every hour after infection. To treat sepsis, which progresses so rapidly, a rapid and accurate diagnosis and adequate prescription of antibiotics are very important.
The results of this study (Return to work after hospitalization for sepsis: a national, registry-based cohort study) were published in the international journal Critical Care.
A test that diagnoses patients with sepsis and prescribes the optimal antibacterial agent will be fully covered by health insurance starting in January.
Since January 1 this year, the health insurance has been applying the “antimicrobial sepsis sensitivity test” for all domestic patients suspected of sepsis (blood poisoning). It is evaluated as a very important measurement in the healthcare field.
Until last year, the “Sepsis Antibacterial Sensitivity Test” (dRAST) from Quanta Matrix, a manufacturer of in vitro diagnostic medical devices, was covered by health insurance only for patients admitted to intensive care units (approximately 13% of all patients). For this reason, patients in the emergency room and the hematology-oncology department were not able to receive this low-cost test. dRAST is a solution that identifies and prescribes the most appropriate antibacterial agent for each patient. Artificial intelligence (AI) deep learning technology is applied.
According to the amended benefit notice, patients who have already been tested can receive additional testing through health insurance when a recurrence of sepsis is suspected or their condition changes. The number of payments increased from 1 to 2. So far, dRAST has been installed in seven tertiary general hospitals in Korea.
Journalist Kim Young-seop
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2024-01-06 01:11:12
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