In-Hospital Sepsis Mortality Rates Comparing Tertiary and Non-Tertiary Hospitals in Washington State

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 tec...

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Bibliographic Details
Published in:The Journal of emergency medicine 2018-06, Vol.54 (6), p.785-792
Main Authors: Salvatierra, Gail G., Gulek, Bernice G., Erdik, Baran, Bennett, Deborah, Daratha, Kenn B.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Female
Hospital Mortality
Hospitalization
Humans
in-hospital mortality
Male
Middle Aged
non-tertiary hospitals
Odds Ratio
Retrospective Studies
sepsis
Sepsis - mortality
Sepsis - therapy
severe sepsis
SIRS
Tertiary Care Centers - organization & administration
Tertiary Care Centers - standards
Tertiary Care Centers - statistics & numerical data
tertiary hospitals
Washington
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Summary: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. To compare sepsis mortality rates between tertiary and non-tertiary hospitals in Washington State. 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. 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 
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2018.01.027