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Promoting Global Research Excellence in Severe Sepsis (PROGRESS): lessons from an international sepsis registry.

Abstract：

BACKGROUND:The PROGRESS Registry (Promoting Global Research Excellence in Severe Sepsis) was designed to provide comparative data reflecting everyday clinical practice, thereby allowing participating institutions to explore and benchmark medical interventions in severe sepsis. MATERIALS AND METHODS:PROGRESS was an international, noninterventional, prospective, observational registry collecting data that describe the management and outcomes of severe sepsis patients in intensive care units (ICUs). Patients were enrolled who had been diagnosed with severe sepsis (suspected or proven infection and >or= 1 acute sepsis-induced organ dysfunction) at the participating institutions, where de-identified data were entered directly into a secured website. PROGRESS was governed by an independent international medical advisory board. RESULTS:PROGRESS took place in 276 ICUs in 37 countries, and 12,881 patients were identified as having severe sepsis. There was considerable variation among countries in enrollment levels, provision of standard treatment and supportive therapies, and ICU and hospital outcomes. Eight countries accounted for 65.2% of the enrolled patients. Males (59.3%) and Caucasian (48.6%) patients predominated the patient cohort. Diagnosis of severe sepsis was prior to ICU admission in 45.7% of patients, at ICU admission in 29.1% of patients, and after ICU admission in the remainder. Globally, ICU and hospital mortality rates were 39.2% and 49.6%, respectively. The mean length of ICU and hospital stay was 14.6 days and 28.2 days, respectively. CONCLUSIONS:The PROGRESS international sepsis registry demonstrates that a large web-based sepsis registry is feasible. Wide variations in outcomes and use of sepsis therapies were observed between countries. These results also suggest that additional opportunities exist across countries to improve severe sepsis outcomes.

journal_name

Infection

journal_title

Infection

authors

Beale R,Reinhart K,Brunkhorst FM,Dobb G,Levy M,Martin G,Martin C,Ramsey G,Silva E,Vallet B,Vincent JL,Janes JM,Sarwat S,Williams MD,PROGRESS Advisory Board.

doi

10.1007/s15010-008-8203-z

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

222-32

issue

eissn

0300-8126

issn

1439-0973

journal_volume

pub_type

杂志文章,多中心研究

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Promoting Global Research Excellence in Severe Sepsis (PROGRESS): lessons from an international sepsis registry.