Characteristic | No.Studies | Prevalence | Sepsis | Septic shock | Severe sepsis | |||
---|---|---|---|---|---|---|---|---|
No.Studies | Prevalence | No.Studies | Prevalence | No.Studies | Prevalence | |||
Septic AKI | 47 | 48.73% (27,248/55911) | 22 | 41.98% (16,399/39067) | 12 | 60.47%(12,678/20965) | 5 | 38.92% (768/1570) |
Sex (male) | 44 | 59.70% (5913/9904) | 22 | 63.68% (1380/2167) | 11 | 59.64% (3191/5350) | 5 | 64.45% (495/768) |
Comorbidities | ||||||||
 Hypertension | 32 | 38.39% (3263/8500) | 14 | 42.28% (859/1817) | 6 | 26.16% (1073/4102) | 5 | 58.07% (446/768) |
 Diabetes mellitus | 32 | 27.57% (2248/8155) | 13 | 20.53% (373/1817) | 7 | 26.75% (1897/7091) | 5 | 30.20% (232/768) |
 Stroke | 4 | 22.79% (67/294) | 1 | 22.33% (67/300) | – | – | 1 | 17.78% (8/45) |
 Cancer | 6 | 18.23% (705/3745) | – | – | 2 | 18.80% (650/3458) | 1 | 16.33% (8/49) |
 Chronic kidney disease | 14 | 16.46% (449/2795) | 7 | 15.52% (178/1147) | 2 | 45.13% (102/226) | 2 | 11.02% (65/590) |
 Cardiovascula disease | 11 | 16.30% (2522/15477) | 4 | 19.47% (169/868) | – | – | 1 | 7.00% (3/45) |
 Congestive heart failure | 7 | 12.69% (491/3869) | 2 | 17.26% (39/226) | 4 | 12.64% (446/3529) | 1 | 8.80% (6/68) |
 COPD | 17 | 12.41% (1114/8976) | 6 | 12.69% (90/709) | 5 | 12.99% (873/6721) | 1 | 5.20% (25/437) |
 Hepatic failure | 4 | 12.16% (449/3691) | 2 | 39.76% (134/337) | 1 | 9.90% (290/2917) | 3 | 12.61% (83/658) |
 Coronary artery disease | 8 | 11.58% (457/3948) | 4 | 10.14% (88/868) | 2 | 9.30% (274/2946) | 1 | 6.15% (4/65) |
 Systolic heart failure | 4 | 11.25% (135/1200) | 1 | 8.00% (24/300) | 2 | 14.32% (59/412) | 1 | 11.90% (52/437) |
 Immnosuppression | 7 | 10.35% (1888/18249) | 2 | 12.74% (1300/14204) | 3 | 15.80% (550/3481) | 1 | 7.20% (35/437) |
 Cirrhosis | 6 | 4.71% (99/2104) | 1 | 1.73% (7/405) | 2 | 7.50% (59/787) | – | – |
 Liver disease | 7 | 3.74% (554/14081) | 3 | 3.57% (509/14282) | 1 | 8.73% (22/252) | 2 | 8.59% (17/198) |
Admission category | ||||||||
 Emergency admission | 7 | 50.88% (9235/18149) | 2 | 50.90% (7298/14339) | 2 | 41.46% (1314/3169) | 2 | 97.12% (573/590) |
 Medical admission | 8 | 47.02% (8701/18506) | 3 | 49.16% (6938/14112) | 2 | 36.99% (1311/3544) | – | – |
 Operative admission | 5 | 30.91% (353/1142) | 1 | 22.33% (67/300) | 1 | 23.02% (58/252) | 2 | 28.81% (170/590) |
 Surgical ward | 7 | 17.73% (3787/21359) | 3 | 16.51% (2375/14388) | 3 | 21.29% (1380/6482) | – | – |
Source of infection | ||||||||
 Pulmonary | 19 | 46.05% (1480/3214) | 8 | 57.96% (448/773) | 5 | 41.10% (603/1467) | 3 | 48.02% (316/658) |
 Respiratory | 7 | 32.08% (273/85) | 2 | 41.22% (54/131) | 2 | 32.74% (74/226) | 2 | 26.36% (29/110) |
 Abdominal | 25 | 30.87% (2152/6971) | 7 | 32.12% (177/551) | 7 | 28.16% (1253/4450) | 5 | 28.65% (220/768) |
 Urinary tract | 19 | 11.14% (630/5653) | 6 | 12.01% (58/483) | 6 | 11.34% (483/4259) | 5 | 11.38% (80/703) |
 Skin or soft tissue | 13 | 6.03% (335/5554) | 3 | 2.15% (5/232) | 4 | 5.40% (218/4033) | 3 | 10.71% (68/635) |
 Unknow | 4 | 6.02% (100/1662) | – | – | 2 | 8.30% (73/879) | – | – |
 Community acquired | 3 | 57.36% (2041/3558) | – | – | 1 | 56.80% (1657/2917) | 2 | 65.08% (384/590) |
 Nosocomial acquired | 2 | 39.81% (2474/6215) | – | – | 2 | 39.81% (2474/6215) | – | – |
Medications | ||||||||
 Vasopressors | 7 | 64.61% (1293/2001) | 3 | 45.04% (100/222) | 2 | 59.38% (513/864) | – | – |
 vasoactive drugs | 5 | 63.22% (911/1441) | 2 | 35.69% (131/367) | 1 | 67.50% (108/160) | 2 | 96.44% (569/590) |
 Steroids | 3 | 30.80% (85/276) | 2 | 38.16% (79/207) | – | – | – | – |
 Diuretics | 4 | 30.77% (296/962) | – | – | 1 | 39.40% (97/252) | 2 | 30.85% (182/590) |
 ACEI or ARB | 8 | 25.62% (619/2416) | 1 | 18.41% (58/315) | 3 | 24.97% (200/801) | 3 | 33.59% (220/655) |
 Stains | 5 | 21.77% (357/1640) | – | – | 2 | 24.13% (118/489) | 1 | 15.79% (69/437) |
 Nsaids |  | 9.63% (203/2108) | 1 | 16.19% (51/315) | 2 | 11.45% (56/489) | 2 | 12.54% (74/590) |
Bacteria | ||||||||
 Gram-negative bacteria | 3 | 17.26% (160/927) | – | – | 1 | 22.3% (49/225) | – | – |
 Gram-positive bacteria | 4 | 10.43% (99/949) | 1 | 18.20% (4/22) | 1 | 28.6% (63/225) | – | – |
Invasive treatment | ||||||||
 Mechanical ventilation | 23 | 68.00% (7167/10539) | 7 | 49.17% (415/844) | 6 | 71.21% (5481/7643) | 4 | 75.25% (529/703) |
 renal replacement therapy | 6 | 39.51% (320/810) | 1 | 36.53% (19/52) | 1 | 18.18% (12/66) | – | – |
 Dialysis | 3 | 28.92% (59/204) | 2 | 35.04% (48/137) | – | – | – | – |
 Blood transfusion | 3 | 19.46% (94/483) | 1 | 7.64% (11/144) | 2 | 27.39% (3/303) | – | – |
 Organ transplant | 3 | 3.76% (252/6703) | – | – | 2 | 3.94% (245/6215) | 1 | 1.60% (7/437) |
Positive blood culture | 8 | 41.38% (3259/7876) | – | – | 4 | 42.89% (2836/6612) | 2 | 30.29% (146/482) |
Bloodstream infection | 4 | 6.61% (237/3586) | 1 | 17.31% (9/52) | 1 | 7.40% (216/2917) | 1 | 4.70% (6/437) |
Smoke history | 5 | 43.09% (642/1490) | 2 | 40.42% (291/720) | – | – | 1 | 32.35% (22/68) |
ARDS | 3 | 47.02% (489/1040) | 1 | 81.19% (82/101) | 2 | 43.34% (407/939) | – | – |
Multiorgan dysfunction (≥3) | 3 | 50.11% (436/870) | 1 | 70.48% (222/315) | – | – | – | – |
Mortality | ||||||||
 ICU mortality | 10 | 45.99% (1989/4325) | 2 | 50.00% (46/92) | 4 | 50.47% (1672/3313) | 1 | 35.38% (23/65) |
 Hospital mortality | 15 | 49.84% (2732/5481) | 7 | 42.17% (245/581) | 3 | 55.83% (1935/3466) | 1 | 29.29% (128/437) |
 28-day mortality | 4 | 36.67% (161/439) | 1 | 30.61% (15/49) | 1 | 71.42% (90/126) | – | – |
 90-day morality | 5 | 64.66% (2406/3721) | – | – | 1 | 58.42% (1704/2917) | 2 | 40.0% (236/590) |