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Association of medical care capacity and the patient mortality of septic shock: a cross-sectional study.
- Source :
-
Anaesthesia, critical care & pain medicine [Anaesth Crit Care Pain Med] 2024 Jun; Vol. 43 (3), pp. 101364. Date of Electronic Publication: 2024 Mar 08. - Publication Year :
- 2024
-
Abstract
- Background: Hospitals with higher septic shock case volume demonstrated lower hospital mortality. We conducted this study to investigate whether this phenomenon was only caused by the increase in the number of admissions or the need to improve the medical care capacity in septic shock at the same time.<br />Methods: Seven-hundred and eighty-seven hospitals from China collected in a survey from January 1, 2021 to December 31, 2021. Medical care capacity for septic shock was explored by patients with septic shock in intensive care units (ICU) divided into beds, intensivists, and nurses respectively.<br />Main Results: The proportion of ICU patients with septic shock was negatively associated with the patient mortality of septic shock (Estimate [95%CI], -0.2532 [-0.5038, -0.0026]) (p-value 0.048). The ratios of patients with septic shock to beds, intensivists, and nurses were negatively associated with mortality of septic shock (Estimate [95%CI], -0.370 [-0.591, -0.150], -0.136 [-0.241, -0.031], and -0.774 [-1.158, -0.389]) (p-value 0.001, 0.011 and < 0.001). Severe pneumonia, the most common infection that caused a septic shock, correlated positively with its mortality (Estimate [95%CI], 0.1002 [0.0617, 0.1387]) (p-value < 0.001).<br />Conclusions: Hospitals with higher medical care capacity for septic shock were associated with lower hospital mortality.<br /> (Copyright © 2024. Published by Elsevier Masson SAS.)
Details
- Language :
- English
- ISSN :
- 2352-5568
- Volume :
- 43
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Anaesthesia, critical care & pain medicine
- Publication Type :
- Academic Journal
- Accession number :
- 38460889
- Full Text :
- https://doi.org/10.1016/j.accpm.2024.101364