Managing sepsis: Electronic recognition, rapid response teams, and standardized care save lives☆,☆☆,☆☆☆
| Autor: | Rhemar Esma, Christina Cannon, Frederick A. Moore, Laura McLauchlin, Dale F. Kraemer, Kendall Webb, Alice Weiss, Kaitlin McCurdy, Cynthia Gerdik, Faheem W. Guirgis, Kelly Gray-Eurom, Jin Ra, Carmen Smotherman, Lisa Jones, Jason Ferreira |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Resuscitation medicine.medical_specialty Critical Care and Intensive Care Medicine Article Odds law.invention Sepsis 03 medical and health sciences 0302 clinical medicine Clinical Protocols law Medicine Electronic Health Records Humans In patient 030212 general & internal medicine Intensive care medicine Emergency Treatment Rapid response Retrospective Studies Patient Care Team business.industry 030208 emergency & critical care medicine Mean age Length of Stay Middle Aged medicine.disease Comorbidity Intensive care unit Benchmarking Intensive Care Units Emergency medicine Florida Female business |
| Popis: | Sepsis can lead to poor outcomes when treatment is delayed or inadequate. The purpose of this study was to evaluate outcomes after initiation of a hospital-wide sepsis alert program.Retrospective review of patients ≥18years treated for sepsis.There were 3917 sepsis admissions: 1929 admissions before, and 1988 in the after phase. Mean age (57.3 vs. 57.1, p=0.94) and Charlson Comorbidity Scores (2.52 vs. 2.47, p=0.35) were similar between groups. Multivariable analyses identified significant reductions in the after phase for odds of death (OR 0.62, 95% CI 0.39-0.99, p=0.046), mean intensive care unit LOS (2.12days before, 95%CI 1.97, 2.34; 1.95days after, 95%CI 1.75, 2.06; p0.001), mean overall hospital LOS (11.7days before, 95% CI 10.9, 12.7days; 9.9days after, 95% CI 9.3, 10.6days, p0.001), odds of mechanical ventilation use (OR 0.62, 95% CI 0.39, 0.99, p=0.007), and total charges with a savings of $7159 per sepsis admission (p=0.036). There was no reduction in vasopressor use (OR 0.89, 95% CI 0.75, 0.1.06, p=0.18).A hospital-wide program utilizing electronic recognition and RRT intervention resulted in improved outcomes in patients with sepsis. |
| Databáze: | OpenAIRE |
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