Analysis of structure indicators influencing 3-h and 6-h compliance with the surviving sepsis campaign guidelines in China: a systematic review

BACKGROUND: Compliance with the surviving sepsis campaign (SSC) guidelines (C(ssc)) is a key factor affecting the effects of sepsis treatment. We designed this study to investigate the relationships of the structure indicators of ICU on 3 and 6-h C(ssc) in China. METHODS: A total of 1854 hospitals were enrolled in a survey, led by the China National Critical Care Quality Control Center (China-NCCQC) from January 1, 2018, through December 31, 2018. We investigated the 1854 hospitals’ 3 and 6-h C(ssc), including compliance with each specific measure of the 3-h and 6-h SSC bundles. We also investigated the actual level of the structure indicators of ICU, released by China-NCCQC in 2015.The outcomes were in adherence with the SSC guidelines (2016). Monitoring indicators included 3 and 6-h C(ssc). RESULTS: In the subgroup, the rate of broad-spectrum antibiotic therapy was the highest, and the rate of CVP and ScvO2 measurement was the lowest among the items of 3 and 6-h C(ssc). Structure indicators related to 3 and 6-h C(ssc) include the predicted mortality rate and the standardized mortality ratio (SMR). The relationships between 3 and 6-h C(ssc) and the proportion of ICU in total inpatient bed occupancy, the proportion of acute physiology and chronic health evaluation (APACHE) II score ≥ 15 in all ICU patients were uncertain. There was no relationship of 3 and 6-h C(ssc) with the proportion of ICU patients among total inpatients. CONCLUSIONS: Structure indicators influencing 3 and 6-h C(ssc) in China are the predicted mortality rate and the standardized mortality rate. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40001-021-00498-7.