Sepsis Chart Implementation and 7-Day Mortality in Indonesian Hospitals
Official title: Implementation of a Sepsis Chart and Its Effects on Mortality Rate in Indonesian Primary Referral Hospitals
Run by Dr Cipto Mangunkusumo General Hospital · NCT07843277 · Data updated 2026-11-12
This study tests whether using a paper-based sepsis chart helps doctors treat sepsis faster and see if it lowers 7-day deaths for adults in two Jakarta hospitals.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 304 (estimated) |
| Sponsor | Dr Cipto Mangunkusumo General Hospital Academic / other |
| Locations | 2 sites (Jakarta Pusat, DKI Jakarta and 1 other locations) |
| Status | Recruiting |
| Started | September 1, 2026 |
| Main results expected | September 30, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | September 28, 2026 |
| Trial ID | NCT07843277 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with sepsis presenting to the Emergency Department at Cipto Mangunkusumo General Hospital or Fatmawati General Hospital in Jakarta.
✕Probably not a fit
Patients whose care deviates from the bundle or those with non-sepsis diagnoses may not see a benefit from the chart.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study evaluates the impact of implementing a paper-based sepsis chart, designed to guide the One-hour Sepsis Bundle, on adherence to early sepsis management and 7-day mortality among adults with sepsis presenting to the Emergency Department. Researchers compare outcomes before and after the chart's introduction at two tertiary hospitals in Jakarta. Participants receive standard sepsis care with documentation focused on the first hour after sepsis suspicion or diagnosis. The study addresses whether a structured order set can improve timely interventions and survival in a real-world LMIC setting. The One-hour Sepsis Bundle includes rapid lactate measurement, cultures, and timely antibiotic administration, among other components.
Why it matters
Potential benefit: If successful, the chart could improve early sepsis care and reduce short-term mortality for patients presenting with sepsis.
How similar studies have gone: Other settings have shown that structured order sets can improve guideline adherence, with mixed evidence on mortality impact; this study contributes real-world data from Indonesia.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients aged ≥18 years. * Patients diagnosed with sepsis according to the Sepsis-3 definition, using the lactate-modified qSOFA score as a reference. * Patients presenting to the Emergency Department. * Patients who are subsequently admitted to one of the participating hospitals: Cipto Mangunkusumo and Fatmawati General Hospital. Exclusion Criteria: * Incomplete clinical or outcome data required for the study analysis.
Where it's running
-
Dr Cipto Mangunkusumo General Hospital
Jakarta Pusat, DKI Jakarta, Indonesia Recruiting -
Fatmawati General Hospital
Jakarta Pusat, DKI Jakarta, Indonesia Not yet recruiting
Study contacts
- Study coordinator: Sharifah Shakinah, MD
- Email: sharifah.shakinah@gmail.com
- Phone: +628129670607
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.