• Henrik Andersson, Christer Axelsson, Anna Larsson, Anders Bremer, Martin Gellerstedt, Angela Bång, Johan Herlitz, and Lars Ljungström.
• University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden. Electronic address: henrik.andersson@hb.se.
• Am J Emerg Med. 2018 Dec 1; 36 (12): 2211-2218.

IntroductionBacteraemia is a first stage for patients risking conditions such as septic shock. The primary aim of this study is to describe factors in the early chain of care in bacteraemia, factors associated with increased chance of survival during the subsequent 28days after admission to hospital. Furthermore, the long-term outcome was assessed.MethodsThis study has a quantitative design based on data from Emergency Medical Services (EMS) and hospital records.ResultsIn all, 961 patients were included in the study. Of these patients, 13.5% died during the first 28days. The EMS was more frequently used by non-survivors. Among patients who used the EMS, the suspicion of sepsis already on scene was more frequent in survivors. Similarly, EMS personnel noted the ESS code "fever, infection" more frequently for survivors upon arriving on scene. The delay time from call to the EMS and admission to hospital until start of antibiotics was similar in survivors and non-survivors. The five-year mortality rate was 50.8%. Five-year mortality was 62.6% among those who used the EMS and 29.5% among those who did not (p<0.0001).ConclusionThis study shows that among patients with bacteraemia who used the EMS, an early suspicion of sepsis or fever/infection was associated with improved early survival whereas the delay time from call to the EMS and admission to hospital until start of treatment with antibiotics was not. 50.8% of all patients were dead after five years.Copyright © 2018 Elsevier Inc. All rights reserved.

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