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Patient and hospital characteristics associated with inpatient severe sepsis mortality in California, 2005–2010

Banta, Jim E., Joshi, Kamlesh P., Beeson, Lawrence, Nguyen, H. Bryant·2012·Critical Care Medicine
DOI 10.1097/ccm.0b013e31825bc92f
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Abstract

Objectives The primary objective of this study was to identify which patient demographic, patient health, and hospital characteristics were associated with in-hospital mortality. A secondary objective was to determine the relative influence of these characteristics on mortality. Design and setting Public-use data for 2005-2010 were used in this retrospective, cross-sectional analysis of discharges from nonfederal, general acute hospitals in California. A staged logistic regression approach was used to examine the relative influence of variables associated with in-hospital mortality. Patients A total of 1,213,219 patient discharges for adults (aged ≥18 yrs) having International Classification of Diseases-9 diagnosis and procedure codes indicating severe sepsis. Intervention None. Measurements and main results Patient demographics (age, gender, race, ethnicity, and payer category), patient health status (acute transfer, Charlson-Deyo comorbidity index, and organ failures), and hospital characteristics (ownership type, teaching status, bed size, annual patient days, acute discharges, emergency department visits, inpatient surgeries, severe sepsis as a percentage of all discharges, and year) were obtained from the California Office of Statewide Health Planning and Development. Overall, in-hospital mortality was 17.8%. There was a steady annual increase in the number of sepsis discharges, but a decrease in mortality throughout the study period. Mortality increased with age and was…

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Research works printed but not linked: 26

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Metadata

Authors
Banta, J. E., Joshi, K. P., Beeson, L., & Nguyen, H. B.
Venue
Critical Care Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2012-11
Volume
40
Issue
11
Pages
2960-2966
ISSN
0090-3493
DOI
10.1097/ccm.0b013e31825bc92f
Cited by
45
References
1
Language
en

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