The research question was to assess patients with and without sepsis and determine the difference in morbidity and mortality within two years of discharge from the ICU. Biason et al

The research question was to assess patients with and without sepsis and determine the difference in morbidity and mortality within two years of discharge from the ICU.  Biason et al (2019) accomplished this by studying patients in the ICU through chart reviews and phone calls post-discharge.  Morbidity was evaluated through assessments of activities of daily living, pain, and readmissions.  Mortality was reviewed by the survival rate.  The results of the study showed both a higher morbidity rate and mortality rate (P<0.001) in ICU patients with a diagnosis of sepsis.  The results of the study aligned with the researcher’s hypothesis (Biason et al., 2019). The sample participants represented the research question by being admitted to the ICU and having a diagnosis with or without sepsis.  Both genders and anyone over age eighteen was included in the study.  Patients who were discharged received follow up for two years.  Only twenty-one patients were lost in follow-ups (Biason et al., 2019).  However, a limitation not indicated by the study was a power analysis of the sample size.  This analysis would have ed determine the adequacy of the participant same size (Chamberlain College of Nursing, 2021). The limitations of the study by Biason et al (2019), included not reviewing the cause of death in the participants, no validity of the Karnofsky and Lawton IADL scales in acutely ill patients, presence of pain was subjective, and mortality risk stratification models were not utilized in the study.  The study presented a strength of comparison complexity in evaluating sepsis versus all other critical illnesses (Biason et al., 2019). This qualitative research study would add great value to the practice problem of sepsis.  In utilizing the John Hopkins evidence-based practice tool the study completed by Biason et al. (2019) showed a level of evidence of I by being a randomized controlled trial.  A quality rating of good was achieved through consistent results, utilizing a control group, current literature review, and definitive conclusions (Newhouse et al., 2007). Biason, L., Teixeira, C., Haas, J., Cabral, C., & Friedman, G. (2019). Effects of sepsis on morbidity and mortality in critically ill patients 2 years after intensive care unit discharge. , (6), 424–432. Chamberlain College of Nursing. (2021). . Online lesson. Newhouse, R. P., Dearholt, S. L., Poe, S. S., Pugh, L. C., & White, K. M. (2007). (1st ed.). Sigma Theta Tau International. I need a comment for this Discussion Board with at least 2 paragraphs and 3 sources no later than 5 years.

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