Readmissions in Severe Sepsis Common
“Severe sepsis continues to be a common cause of hospitalisation and has the associated high costs,” says lead author Darya Rudym, MD, New York University School of Medicine, New York.
Previous studies have examined some quality measures (eg, length of stay) associated with sepsis, an infection of the bloodstream that can lead to organ failure and death. Dr. Rudym's study specifically looked at the rate of readmission within 30 days after discharge with a diagnosis of severe sepsis. Dr. Rudym and colleagues sought to compare this rate to the readmission rates for Centers for Medicare and Medicaid Services reported outcomes such as acute myocardial infarction (MI), HF and pneumonia.
The research team studied inpatient discharges from Bellevue Hospital in New York City between July 2011 and July 2014 and identified subsequent readmissions to the hospital within 30 days.
During the three-year study period, the team tracked 22,712 discharges, with an overall readmission rate of 15.31 percent (3,477 patients). Based on three different previously reported methods of detecting cases of severe sepsis, namely Angus, Martin, and the explicit International Classification of Diseases-9-CM sepsis codes, 1,801, 798, and 579 patients, respectively, were identified as discharged with severe sepsis. “Of those, 266, 119, and 71 were readmitted within 30 days, accounting for 14.77 percent, 14.91 percent, and 12.26 percent, respectively,” explains Dr. Rudym.
In comparison, the readmission rates for MI, pneumonia and HF were 8.67 percent, 14.46 percent and 15 percent, respectively.
As Dr. Rudym points out: “Readmission rates in severe sepsis are shown not to be significantly different from readmission rates in heart failure and pneumonia.”
Source: American Thoracic Society
Image credit: NHS Direct Wales
Published on : Wed, 20 May 2015
Print as PDF
Features The SynoVent E5 is the ventilator you need with the interface you want. It does not only include advanced ventilator functionality for patients ranging from infant to adult, but also a modern, easy-to-use interface. The display can be configured...
Medos hemofilters pro are used for efficient and gentle hemofiltration during extracorporal circulation.Medos hemofilters pro do not need to be pre-flushed and can be used immediately. This guarantees a safe and quick hemofiltration.
medos customized tubing sets have been individually designed, so that all customer requirements, depending on application and need can be realized. Furthermore tubing sets can be refined by rheoparin or x.eed coating. Customized and standard tubing sets...
FeaturesSV 300 is a state-of-the-art ventilator that’s simple to configure, easy to operate and versatile in use. It equips with extensive ventilation modes that can treats pediatric and adult patients with all acuity levels at ICUs and Intermediate Care.With...