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"Tae Rim Lee"

Original Articles

Emergency Medical Services | Disaster

Effect of typhoons on the Korean national emergency medical service system
Soo Hyun Park, Won Chul Cha, Giwoon Kim, Tae Rim Lee, Sung Yeon Hwang, Tae Gun Shin, Min Seob Sim, Ik Joon Jo
Clin Exp Emerg Med 2018;5(4):272-277.   Published online December 31, 2018
DOI: https://doi.org/10.15441/ceem.17.255

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Effect of typhoons on the Korean national emergency medical service system
Clin Exp Emerg Med. 2018;5(4):272-277.   Published online December 31, 2018
DOI: https://doi.org/10.15441/ceem.17.255
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Effect of typhoons on the Korean national emergency medical service system
Clin Exp Emerg Med. 2018;5(4):272-277.   Published online December 31, 2018
DOI: https://doi.org/10.15441/ceem.17.255
Close
Objective
While the effect of typhoons on emergency medicine has been evaluated, data are scarce on their effects on the emergency medical service (EMS). This study evaluated the effect of typhoons on EMS patients and performance.
Methods
The study period was January 2010 to December 2012. Meteorological data regarding typhoons were provided by the Korean Meteorological Administration. EMS data were retrieved from the EMS database of the national emergency management agency. The database includes ambulance run sheets, which contain clinical and operational data. In this case-crossover study, the cases and controls were EMS calls on the day of typhoon warnings and calls one week prior to the typhoon warnings, respectively.
Results
During the study period, 11 typhoons affected Korea. A total of 14,521 cases were selected for analysis. Overall, there were no obvious differences between the case and control groups. However, there were statistically significant differences in age, place, and time requests. There were fewer patients between 0 and 15 years of age (P=0.01) and more unconscious patients (P=0.01) in the case group. The EMS operational performance, as measured by the times elapsed between call to start, call to field, and call to hospital did not differ significantly. There was also no significant difference in the time from hospital arrival between the cases (28.67, standard deviation 16.37) and controls (28.97, standard deviation 28.91) (P=0.39).
Conclusion
Typhoons did not significantly affect the EMS system in this study. Further study is necessary to understand the reasons for this finding.
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Resuscitation

Impact of early coronary angiography on the survival to discharge after out-of-hospital cardiac arrest
Jikyoung Shin, Eunsil Ko, Won Chul Cha, Tae Rim Lee, Hee Yoon, Sung Yeon Hwang, Tae Gun Shin, Min Seob Sim, Ik Joon Jo, Keun Jeong Song, Joong Eui Rhee, Yeon Kwon Jeong, Jin-Ho Choi
Clin Exp Emerg Med 2017;4(2):65-72.   Published online June 30, 2017
DOI: https://doi.org/10.15441/ceem.16.167

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Impact of early coronary angiography on the survival to discharge after out-of-hospital cardiac arrest
Clin Exp Emerg Med. 2017;4(2):65-72.   Published online June 30, 2017
DOI: https://doi.org/10.15441/ceem.16.167
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Impact of early coronary angiography on the survival to discharge after out-of-hospital cardiac arrest
Clin Exp Emerg Med. 2017;4(2):65-72.   Published online June 30, 2017
DOI: https://doi.org/10.15441/ceem.16.167
Close
Objective
Acute myocardial infarction is a major cause of out-of-hospital cardiac arrest (OHCA). Coronary angiography (CAG) enables diagnostic confirmation of coronary artery disease and subsequent revascularization, which might improve the prognosis of OHCA survivors. Non-randomized data has shown a favorable impact of CAG on prognosis for this population. However, the optimal timing of CAG has been debated.
Methods
The clinical outcomes of 607 OHCA patients registered in CAPTURES (Cardiac Arrest Pursuit Trial with Unique Registration and Epidemiologic Surveillance), a nationwide multicenter registry performed in 27 hospitals, were analyzed. Early CAG was defined as CAG performed within 24 hours of emergency department admission. The primary outcome was survival to discharge, with neurologically favorable status defined by cerebral performance category scores ≤2.
Results
Compared to patients without CAG (n=469), patients who underwent early CAG (n=138) were younger, more likely to be male, and more likely to have received bystander cardiopulmonary resuscitation, pre-hospital defibrillation, and revascularization (P<0.01 for all). Analysis of 115 propensity score-matched pairs showed that early CAG is associated with a 2.3-fold increase in survival to discharge with neurologically favorable status (P<0.001, all). Survival to discharge increased consistently according to the time interval between emergency department visit and CAG (P<0.05).
Conclusion
Early CAG of OHCA patients was associated with better survival and favorable neurologic outcomes at discharge. However, there was no clear time threshold for CAG that predicted survival to discharge.

Citations

Citations to this article as recorded by  Crossref logo
  • Coronary Angiography in Patients With Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation on Electrocardiograms: A Comprehensive Review
    Sachin Kumar, Bahaa Abdelghaffar, Meghana Iyer, Ghaith Shamaileh, Raunak Nair, Weili Zheng, Beni Verma, Venu Menon, Samir R. Kapadia, Grant W. Reed
    Journal of the Society for Cardiovascular Angiography & Interventions.2023; 2(1): 100536.     CrossRef
  • Impact of emergent coronary angiography after out-of-the-hospital cardiac arrest without ST-segment elevation – A systematic review and meta-analysis
    Nuno Alves, Mauro Mota, Madalena Cunha, Joana Maria Ribeiro
    International Journal of Cardiology.2022; 364: 1.     CrossRef
  • ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest
    Marinos Kosmopoulos, Jason A. Bartos, Demetris Yannopoulos
    Interventional Cardiology Clinics.2021; 10(3): 359.     CrossRef
  • 2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 5. Post-cardiac arrest care
    Young-Min Kim, Kyung Woon Jeung, Won Young Kim, Yoo Seok Park, Joo Suk Oh, Yeon Ho You, Dong Hoon Lee, Minjung Kathy Chae, Yoo Jin Jeong, Min Chul Kim, Eun Jin Ha, Kyoung Jin Hwang, Won-Seok Kim, Jae Myung Lee, Kyoung-Chul Cha, Sung Phil Chung, June Dong
    Clinical and Experimental Emergency Medicine.2021; 8(S): S41.     CrossRef
  • Post-cardiac arrest syndrome
    N.V. Bragina, T.G. Markova, V.I. Gorbachev
    Anesteziologiya i reanimatologiya.2021; (4): 140.     CrossRef
  • Gender difference in the clinical outcomes of patients with out-of-hospital cardiac arrest
    Gun Tak Lee, Sung Yeon Hwang, Ik Joon Jo, Tae Rim Kim, Hee Yoon, Won Chul Cha, Min Seob Sim, Sang Do Shin, Tae Gun Shin, Jin-Ho Choi
    Medicine.2021; 100(48): e27855.     CrossRef
  • Coronary Angiography in Patients With Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation
    Beni R. Verma, Vikram Sharma, Shashank Shekhar, Manpreet Kaur, Shameer Khubber, Agam Bansal, Jarmanjeet Singh, Keerat Rai Ahuja, Salik Nazir, Michael Chetrit, Venu Menon, Grant Reed, Samir Kapadia
    JACC: Cardiovascular Interventions.2020; 13(19): 2193.     CrossRef
  • Management of post-cardiac arrest syndrome
    Youngjoon Kang
    Acute and Critical Care.2019; 34(3): 173.     CrossRef
  • Selective Coronary Angiography Following Cardiac Arrest
    Jayasheel O. Eshcol, Adnan K. Chhatriwalla
    Cardiovascular Innovations and Applications.2019;[Epub]     CrossRef
  • Predictors of Obstructive Coronary Disease and Mortality in Adults Having Cardiac Arrest
    Jignesh K. Patel, Ganesh Thippeswamy, Abdo Kataya, Charles A. Loeb, Puja B. Parikh
    The American Journal of Cardiology.2018; 122(1): 12.     CrossRef
  • 14,914 View
  • 171 Download
  • 7 Web of Science
  • 10 Crossref

Emergency Medical Services | Critical Care

Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
Joongmin Park, Sung Yeon Hwang, Tae Gun Shin, Ik Joon Jo, Hee Yoon, Tae Rim Lee, Won Chul Cha, Min Seob Sim
Clin Exp Emerg Med 2017;4(1):48-55.   Published online March 30, 2017
DOI: https://doi.org/10.15441/ceem.16.159

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Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
Clin Exp Emerg Med. 2017;4(1):48-55.   Published online March 30, 2017
DOI: https://doi.org/10.15441/ceem.16.159
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Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
Clin Exp Emerg Med. 2017;4(1):48-55.   Published online March 30, 2017
DOI: https://doi.org/10.15441/ceem.16.159
Close
Objective
We aimed to evaluate the knowledge and attitudes of emergency medical service (EMS) personnel pertaining to sepsis. We also compared EMS personnel’s knowledge of sepsis and their intention to engage in prehospital sepsis management.
Methods
The survey was conducted during education conferences for EMS personnel in December 2013 and January 2015 in Seoul, Korea. The questionnaire composed of 10 questions relevant to sepsis, was distributed on-scene, and was retrieved by investigators after the conference. We classified subjects into active and passive groups based on intent to participate in prehospital sepsis care.
Results
A total of 271 questionnaires were distributed; 255 EMS personnel (94%) completed the survey, 126 (49%) of whom were first-degree emergency medical technicians (EMTs). Less than 75% of subjects provided clinically relevant responses to questions about the definitions of sepsis, tachycardia, tachypnea, hypotension, hypothermia, fluid resuscitation, and vasopressor. Only 15% of participants had suspected that a patient had sepsis, and 9% reported that they could identify patients with sepsis during transportation. Overall, first-degree EMTs showed higher levels of knowledge and a positive attitude to sepsis compared with non-first-degree EMTs. Sixty percent of the participants reported that they were actively involved in prehospital sepsis care. The active group showed significantly higher levels of knowledge and more positive responses to the clinical impact of prehospital sepsis care.
Conclusion
Our study showed that is a substantial portion of EMS personnel lacks appropriate level of knowledge on sepsis care. We also found that the intention to engage in sepsis management was associated with appropriate knowledge of sepsis.

Citations

Citations to this article as recorded by  Crossref logo
  • Barriers and facilitators to optimal sepsis care – a systematized review of healthcare professionals’ perspectives
    Lea Draeger, Carolin Fleischmann-Struzek, Sabine Gehrke-Beck, Christoph Heintze, Daniel O. Thomas-Rueddel, Konrad Schmidt
    BMC Health Services Research.2025;[Epub]     CrossRef
  • Prehospital fluid therapy in patients with suspected infection: a survey of ambulance personnel’s practice
    Marie Egebjerg Jensen, Arne Sylvester Jensen, Carsten Meilandt, Kristian Winther Jørgensen, Ulla Væggemose, Allan Bach, Hans Kirkegaard, Marie Kristine Jessen
    Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.2022;[Epub]     CrossRef
  • Prehospital delay is an important risk factor for mortality in community-acquired bloodstream infection (CA-BSI): a matched case–control study
    Martin Holmbom, Maria Andersson, Sören Berg, Dan Eklund, Pernilla Sobczynski, Daniel Wilhelms, Anna Moberg, Mats Fredrikson, Åse Östholm Balkhed, Håkan Hanberger
    BMJ Open.2021; 11(11): e052582.     CrossRef
  • The Knowledge of Nursing Internship Program Students about Early Detection of Sepsis
    Stefani Stefani, Yanny Trisyani, Anita Setyawati
    Open Access Macedonian Journal of Medical Sciences.2021; 9(T6): 116.     CrossRef
  • Knowledge of sepsis risk and management among dental professionals in Wales: a service evaluation
    Stephen Woolley, Mick Allen, Renata Medeiros Mirra
    British Dental Journal.2020;[Epub]     CrossRef
  • Prehospital sepsis alert notification decreases time to initiation of CMS sepsis core measures
    Christopher L. Hunter, Salvatore Silvestri, Amanda Stone, Anne Shaughnessy, Stacie Miller, Alexa Rodriguez, Linda Papa
    The American Journal of Emergency Medicine.2019; 37(1): 114.     CrossRef
  • Emergency medical service providers' knowledge and perception of sepsis at Makkah Saudi Red Crescent Authority
    BassamHassan Basaffar, NasserSafar Aloitibi, RashedMohammad Alzahrani, OmarOsama Felimban, KhalidSafir Algethami, AbdullahHamdan Alshehri
    Saudi Critical Care Journal.2019; 3(2): 85.     CrossRef
  • 11,612 View
  • 156 Download
  • 7 Web of Science
  • 7 Crossref

Case Reports

Toxicology

Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate/magnesium citrate powder
Gyeong Bo Kim, Sung Yeon Hwang, Tae Gun Shin, Tae Rim Lee, Won Chul Cha, Min Seob Sim, Ik Joon Jo, Keun Jeong Song, Joong Eui Rhee, Yeon Kwon Jeong
Clin Exp Emerg Med 2016;3(2):109-111.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.023

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Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate/magnesium citrate powder
Clin Exp Emerg Med. 2016;3(2):109-111.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.023
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Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate/magnesium citrate powder
Clin Exp Emerg Med. 2016;3(2):109-111.   Published online June 30, 2016
DOI: https://doi.org/10.15441/ceem.15.023
Close
A 59-year-old man presented to the emergency department with a chief complaint of sore throat after swallowing sodium picosulfate/magnesium citrate powder for bowel preparation, without first dissolving it in water. The initial evaluation showed significant mucosal injury involving the oral cavity, pharynx, and epiglottis. Endotracheal intubation was performed for airway protection in the emergency department, because the mucosal swelling resulted in upper airway compromise. After conservative treatment in the intensive care unit, he underwent tracheostomy because stenosis of the supraglottic and subglottic areas was not relieved. The tracheostomy tube was successfully removed after confirming recovery, and he was discharged 3 weeks after admission.

Citations

Citations to this article as recorded by  Crossref logo
  • Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder
    Daehyun Kim, Byungha Cho, Jong Wook Choi, Ki Bae Kim, Seon Mee Park
    Clinical Endoscopy.2021; 54(1): 122.     CrossRef
  • 15,734 View
  • 106 Download
  • 1 Web of Science
  • 1 Crossref

Cardiovascular | Resuscitation

Successful fibrinolytic and therapeutic hypothermic management of cardiac arrest following massive pulmonary embolism
Eunsil Ko, Jeong Hoon Lee, Minjung Kathy Chae, Tae Rim Lee, Min Seob Sim, Tae Gun Shin, Won Chul Cha, Ik Joon Jo, Keun Jeong Song, Joong Eui Rhee, Yeon Kwon Jeong
Clin Exp Emerg Med 2015;2(3):193-196.   Published online September 30, 2015
DOI: https://doi.org/10.15441/ceem.15.021

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Successful fibrinolytic and therapeutic hypothermic management of cardiac arrest following massive pulmonary embolism
Clin Exp Emerg Med. 2015;2(3):193-196.   Published online September 30, 2015
DOI: https://doi.org/10.15441/ceem.15.021
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Successful fibrinolytic and therapeutic hypothermic management of cardiac arrest following massive pulmonary embolism
Clin Exp Emerg Med. 2015;2(3):193-196.   Published online September 30, 2015
DOI: https://doi.org/10.15441/ceem.15.021
Close
Massive pulmonary embolism (MPE) with hemodynamic instability is a clinical condition with a poor prognosis and high mortality rates. There are no definitive treatment options for cardiac arrest due to MPE. A 52-year-old female presented at our emergency department with cardiac arrest, and a 62-year-old female presented after achieving return of spontaneous circulation of cardiac arrest from a local hospital, respectively. In each case, computed tomographic pulmonary angiography after return of spontaneous circulation demonstrated heavy burdens of pulmonary embolism in the pulmonary arteries. We immediately started therapeutic hypothermia and fibrinolytic therapy. They were transferred to the thoracic surgery and cardiology departments respectively, and then discharged with a cerebral performance categories scale score of 1. In summary, we report two cases of out-of-hospital cardiac arrest due to MPE in which fibrinolytic therapy was successfully combined with therapeutic hypothermia.
  • 11,767 View
  • 93 Download
  • 1 Web of Science

Medical Emergencies | Procedures

Finger necrosis after accidental radial artery puncture
Jun Sik Kang, Tae Rim Lee, Won Chul Cha, Tae Gun Shin, Min Seob Sim, Ik Joon Jo, Keun Jeong Song, Joong Eui Rhee, Yeon Kwon Jeong
Clin Exp Emerg Med 2014;1(2):130-133.   Published online December 31, 2014
DOI: https://doi.org/10.15441/ceem.14.045

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Finger necrosis after accidental radial artery puncture
Clin Exp Emerg Med. 2014;1(2):130-133.   Published online December 31, 2014
DOI: https://doi.org/10.15441/ceem.14.045
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Finger necrosis after accidental radial artery puncture
Clin Exp Emerg Med. 2014;1(2):130-133.   Published online December 31, 2014
DOI: https://doi.org/10.15441/ceem.14.045
Close
Radial artery puncture, an invasive procedure, is frequently used for critical patients. Although considered safe, severe complications such as finger necrosis can occur. Herein, we review the clinical course of finger necrosis after accidental radial artery puncture. A 63-year-old woman visited the emergency department (ED) with left second and third finger pain after undergoing intravenous (IV) access in her wrist for procedural sedation. During the IV access, she experienced wrist pain, which increased during the 12 hours prior to her ED presentation. Emergency angiography revealed a pseudoaneurysm in her left radial artery and absence of blood flow to the proper palmar digital artery. Subsequent angiointervention and urokinase thrombolysis failed. The second finger was eventually amputated owing to gangrene. Radial artery puncture can occur accidentally during IV wrist access, resulting in severe morbidity. Providers should carefully examine the puncture site and collateral flow, followed by multiple examinations to ensure distal circulation.

Citations

Citations to this article as recorded by  Crossref logo
  • MiRNAs in Interstitial Skin Fluid Sampled with Swellable Hydrogel Microneedles Are Locally Deregulated Near Malignant Skin Lesions in Early Stages of Cutaneous Squamous Cell Carcinoma
    Ahmad Kenaan, Oliver Teenan, Connor Daniels, Christina Malaktou, Mo Akhavani, Nikolaos Sideris, Leandro Castellano, Jessica Strid, Claire A. Higgins, Sylvain Ladame
    ACS Biomaterials Science & Engineering.2026; 12(2): 1245.     CrossRef
  • Aortotomy-induced acute mural thrombosis progresses to saccular aneurysm formation
    Hualong Bai, Zhuo Li, Alan Dardik
    Research and Practice in Thrombosis and Haemostasis.2026; 10(1): 103365.     CrossRef
  • Comparison of Arterial Puncture Skill Improvement Between Training with an Arterial Puncture Part-Task Trainer Simulator and Conventional Training in Fifth-Year Medical Students: A Pilot Study
    Natsinee Athinartrattanapong, Parinda Chamchoi, Phanorn Chalermdamrichai, Panvilai Tangkulpanich, Chaiyaporn Yuksen, Chantarat Palee, Suteenun Seesuklom
    Advances in Medical Education and Practice.2026; Volume 17: 1.     CrossRef
  • Distal Radial Access: Is There a Clinical Benefit?
    A. V. Korotkikh, A. M. Babunashvili, A. N. Kazantsev, Z. S. Annaev
    Cardiology in Review.2024; 32(2): 110.     CrossRef
  • Distal Radial Access: is There any Clinical Benefit?
    A. V. Korotkikh, A. M. Babunashvili, A. N. Kazantsev, E. S. Tarasyuk
    Russian Sklifosovsky Journal "Emergency Medical Care".2023; 12(3): 464.     CrossRef
  • Distal Transradial Access for Coronary Angiography and Interventions
    Manolo Rubio, Hamid A.K. Shirwany, Scott R. Monnin, Rami N. Khouzam
    Current Problems in Cardiology.2021; 46(3): 100714.     CrossRef
  • Collateral Circulation Testing of the Hand– Is it Relevant Now? A Narrative Review
    Reshma Golamari, Ian C. Gilchrist
    The American Journal of the Medical Sciences.2021; 361(6): 702.     CrossRef
  • Liquid Biopsy for Solid Ophthalmic Malignancies: An Updated Review and Perspectives
    Arnaud Martel, Stephanie Baillif, Sacha Nahon-esteve, Lauris Gastaud, Corine Bertolotto, Barnabé Roméo, Baharia Mograbi, Sandra Lassalle, Paul Hofman
    Cancers.2020; 12(11): 3284.     CrossRef
  • 40,214 View
  • 207 Download
  • 9 Web of Science
  • 8 Crossref
Original Articles

Resuscitation | Education & Simulation

Factors affecting the accuracy of chest compression depth estimation
Jung Hee Kang, Won Chul Cha, Minjung Kathy Chae, Hang A Park, Sung Yeon Hwang, Sang Chan Jin, Tae Rim Lee, Tae Gun Shin, Min Seob Sim, Ik Joon Jo, Keun Jeong Song, Joong Eui Rhee, Yeon Kwon Jeong
Clin Exp Emerg Med 2014;1(2):101-108.   Published online December 31, 2014
DOI: https://doi.org/10.15441/ceem.14.006

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Factors affecting the accuracy of chest compression depth estimation
Clin Exp Emerg Med. 2014;1(2):101-108.   Published online December 31, 2014
DOI: https://doi.org/10.15441/ceem.14.006
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Factors affecting the accuracy of chest compression depth estimation
Clin Exp Emerg Med. 2014;1(2):101-108.   Published online December 31, 2014
DOI: https://doi.org/10.15441/ceem.14.006
Close
Objective
We aimed to estimate the accuracy of visual estimation of chest compression depth and identify potential factors affecting accuracy.
Methods
This simulation study used a basic life support mannequin, the Ambu man. We recorded chest compression with 7 different depths from 1 to 7 cm. Each video clip was recorded for a cycle of compression. Three different viewpoints were used to record the video. After filming, 25 clips were randomly selected. Health care providers in an emergency department were asked to estimate the depth of compressions while watching the selected video clips. Examiner determinants such as experience and cardiopulmonary resuscitation training and environment determinants such as the location of the camera (examiner) were collected and analyzed. An estimated depth was considered correct if it was consistent with the one recorded. A multivariate analysis predicting the accuracy of compression depth estimation was performed.
Results
Overall, 103 subjects were enrolled in the study; 42 (40.8%) were physicians, 56 (54.4%) nurses, and 5 (4.8%) emergency medical technicians. The mean accuracy was 0.89 (standard deviation, 0.76). Among examiner determinants, only subjects’ occupation and clinical experience showed significant association with outcome (P=0.03 and P=0.08, respectively). All environmental determinants showed significant association with the outcome (all P<0.001). Multivariate analysis showed that accuracy rate was significantly associated with occupation, camera position, and compression depth.
Conclusions
The accuracy rate of chest compression depth estimation was 0.89 and was significantly related with examiner’s occupation, camera view position, and compression depth.
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Critical Care

Impact of timely antibiotic administration on outcomes in patients with severe sepsis and septic shock in the emergency department
Young Min Joo, Minjung Kathy Chae, Sung Yeon Hwang, Sang-Chan Jin, Tae Rim Lee, Won Chul Cha, Ik Joon Jo, Min Seob Sim, Keun Jeong Song, Yeon Kwon Jeong, Tae Gun Shin
Clin Exp Emerg Med 2014;1(1):35-40.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.012

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Impact of timely antibiotic administration on outcomes in patients with severe sepsis and septic shock in the emergency department
Clin Exp Emerg Med. 2014;1(1):35-40.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.012
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Impact of timely antibiotic administration on outcomes in patients with severe sepsis and septic shock in the emergency department
Clin Exp Emerg Med. 2014;1(1):35-40.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.012
Close
Objective

We aimed to investigate the effect of timely antibiotic administration on outcomes in patients with severe sepsis and septic shock.

 Methods

We analyzed data from a sepsis registry that included adult patients who initially presented to the emergency department (ED) and met criteria for severe sepsis or septic shock. Timely antibiotic use was defined as administration of a broad-spectrum antibiotic within three hours from the time of ED arrival. Multivariable logistic and linear regression analyses were performed to assess associations between timely administration of antibiotics and outcomes, including hospital mortality, 48-hour change in Sequential Organ Failure Assessment (SOFA) score (delta SOFA), and hospital length of stay (LOS).

 Results

A total of 591 patients were included in the study. In-hospital mortality was 16.9% for patients receiving timely antibiotics (n=377) and 22.9% for patients receiving delayed antibiotics (n=214; P=0.04). The adjusted odds ratio for in-hospital survival was 0.54 (95% confidence interval [CI], 0.34 to 0.87; P=0.01) in patients who received timely antibiotics. Timely antibiotic administration was also significantly associated with higher delta SOFA (2 vs. 1) and shorter hospital LOS among survivors (11 days vs. 15 days). Multivariable linear regression analyses showed that timely antibiotic administration was significantly associated with increased delta SOFA and decreased hospital LOS.

 Conclusion

Antibiotic administration within three hours from the time of ED arrival was significantly associated with improved outcomes, including in-hospital survival, reversal of organ failure, and shorter hospital LOS, in patients with severe sepsis and septic shock.

Citations

Citations to this article as recorded by  Crossref logo
  • Stain-free artificial intelligence-assisted light microscopy for the identification of leukocyte morphology change in presence of bacteria
    Alexander Hunt, Holger Schulze, Kay Samuel, Robert B. Fisher, Till T. Bachmann
    Frontiers in Bioinformatics.2026;[Epub]     CrossRef
  • An intraoperative bile culture does not improve the outcomes or guide antibiotic management in acute cholecystitis: A Propensity-Weighted analysis
    Jumpei Shibata, Masaoki Hattori, Akihiro Hirata, Akihiro Tomida, Takuya Arakawa, Hiromitsu Imataki, Marika Suzuki, Motoi Yoshihara
    Surgery Today.2026;[Epub]     CrossRef
  • Development and validation of a bacteremia prediction score for adult emergency department patients using hybrid machine learning and regression
    Minha Kim, Min Joon Seo, Jong Eun Park, Minyoung Choi, Hansol Chang, Sejin Heo, Seung Jin Maeng, Gun Tak Lee, Sung Yeon Hwang, Sejoong Ahn, Tae Gun Shin
    Scientific Reports.2026;[Epub]     CrossRef
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CEEM : Clinical and Experimental Emergency Medicine