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In-Hospital Sepsis Mortality Rates Comparing Tertiary and Non-Tertiary Hospitals in Washington State.
- Source :
-
Journal of Emergency Medicine (0736-4679) . Jun2018, Vol. 54 Issue 6, p785-792. 8p. - Publication Year :
- 2018
-
Abstract
- <bold>Background: </bold>More than a million people a year in the United States experience sepsis or sepsis-related complications, and sepsis remains the leading cause of in-hospital deaths. Unlike many other leading causes of in-hospital mortality, sepsis detection and treatment are not dependent on the presence of any technology or services that differ between tertiary and non-tertiary hospitals.<bold>Objective: </bold>To compare sepsis mortality rates between tertiary and non-tertiary hospitals in Washington State.<bold>Methods: </bold>A retrospective longitudinal, observational cohort study of 73 Washington State hospitals for 2010-2015 using data from a standardized state database of hospital abstracts. Abstract records on adult patients (n = 86,378) admitted through the emergency department (ED) from 2010 through 2015 in all tertiary (n = 7) and non-tertiary (n = 66) hospitals in Washington State.<bold>Results: </bold>The overall mortality rate for all hospitals was 6.5%. In the fully adjusted model, the odds ratio for in-hospital death was higher in non-tertiary hospitals compared with tertiary hospitals (odds ratio 1.25; 95% confidence interval 1.17-1.35; p < 0.001).<bold>Conclusions: </bold>We observed higher sepsis mortality rates in non-tertiary hospitals, compared with tertiary hospitals. Because most patients who are treated for sepsis are treated outside of tertiary hospitals, and the number of patients treated for sepsis in non-tertiary hospitals seems to be rising, a better understanding of the cause or causes for this differential is crucial. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 07364679
- Volume :
- 54
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Emergency Medicine (0736-4679)
- Publication Type :
- Academic Journal
- Accession number :
- 129973954
- Full Text :
- https://doi.org/10.1016/j.jemermed.2018.01.027