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Demographic Undertones for Sepsis Mortality in a Community-Based Hospital
BACKGROUND: Sepsis continues to take main stage in healthcare. Therefore, it remains crucial to elucidate contributors to sepsis mortality. The aim of this study is to determine the impact of race, insurance type, and code status on sepsis mortality in a community health system. METHODS: We conducte...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827221/ https://www.ncbi.nlm.nih.gov/pubmed/35211214 http://dx.doi.org/10.14740/jocmr4618 |
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author | Jabri, Ahmad Fowler, Cosmo Dhamija, Yashu Alzubi, Jafar Bhatia, Smriti Al-abdouh, Ahmad Alameh, Anas Alfahel, Hamzeh Haddadin, Faris Shahrori, Zaid Nasser, Farhan Ababneh, Ahmad |
author_facet | Jabri, Ahmad Fowler, Cosmo Dhamija, Yashu Alzubi, Jafar Bhatia, Smriti Al-abdouh, Ahmad Alameh, Anas Alfahel, Hamzeh Haddadin, Faris Shahrori, Zaid Nasser, Farhan Ababneh, Ahmad |
author_sort | Jabri, Ahmad |
collection | PubMed |
description | BACKGROUND: Sepsis continues to take main stage in healthcare. Therefore, it remains crucial to elucidate contributors to sepsis mortality. The aim of this study is to determine the impact of race, insurance type, and code status on sepsis mortality in a community health system. METHODS: We conducted a retrospective cohort study of inpatient adults of any sex, race, and insurance type with a diagnosis of sepsis, severe sepsis, septic shock, or pneumonia. RESULTS: We included 913 patients, with an average age of 69 years for expired patients and 62 years for non-expiring patients (P < 0.0001). After controlling for other variables, patients who presented as comfort care arrest were 4.3 (95% confidence interval (CI): 1.8 to 9.9, P = 0.0007) times more likely to have died than full code patients. Those who were comfort care only were 10.6 (95% CI: 0.8 to 140.6, P = 0.0741) times more likely to have died than the full code, although this was not statistically significant. CONCLUSIONS: The results suggest that patients who are comfort care arrest have an increased risk of sepsis mortality. The results show no impact of insurance type or race on sepsis mortality, which is in contrast to some existing literature. The study suggests that institutions may need to investigate internal variables related to sepsis mortality. |
format | Online Article Text |
id | pubmed-8827221 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-88272212022-02-23 Demographic Undertones for Sepsis Mortality in a Community-Based Hospital Jabri, Ahmad Fowler, Cosmo Dhamija, Yashu Alzubi, Jafar Bhatia, Smriti Al-abdouh, Ahmad Alameh, Anas Alfahel, Hamzeh Haddadin, Faris Shahrori, Zaid Nasser, Farhan Ababneh, Ahmad J Clin Med Res Original Article BACKGROUND: Sepsis continues to take main stage in healthcare. Therefore, it remains crucial to elucidate contributors to sepsis mortality. The aim of this study is to determine the impact of race, insurance type, and code status on sepsis mortality in a community health system. METHODS: We conducted a retrospective cohort study of inpatient adults of any sex, race, and insurance type with a diagnosis of sepsis, severe sepsis, septic shock, or pneumonia. RESULTS: We included 913 patients, with an average age of 69 years for expired patients and 62 years for non-expiring patients (P < 0.0001). After controlling for other variables, patients who presented as comfort care arrest were 4.3 (95% confidence interval (CI): 1.8 to 9.9, P = 0.0007) times more likely to have died than full code patients. Those who were comfort care only were 10.6 (95% CI: 0.8 to 140.6, P = 0.0741) times more likely to have died than the full code, although this was not statistically significant. CONCLUSIONS: The results suggest that patients who are comfort care arrest have an increased risk of sepsis mortality. The results show no impact of insurance type or race on sepsis mortality, which is in contrast to some existing literature. The study suggests that institutions may need to investigate internal variables related to sepsis mortality. Elmer Press 2022-01 2022-01-29 /pmc/articles/PMC8827221/ /pubmed/35211214 http://dx.doi.org/10.14740/jocmr4618 Text en Copyright 2022, Jabri et al. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Jabri, Ahmad Fowler, Cosmo Dhamija, Yashu Alzubi, Jafar Bhatia, Smriti Al-abdouh, Ahmad Alameh, Anas Alfahel, Hamzeh Haddadin, Faris Shahrori, Zaid Nasser, Farhan Ababneh, Ahmad Demographic Undertones for Sepsis Mortality in a Community-Based Hospital |
title | Demographic Undertones for Sepsis Mortality in a Community-Based Hospital |
title_full | Demographic Undertones for Sepsis Mortality in a Community-Based Hospital |
title_fullStr | Demographic Undertones for Sepsis Mortality in a Community-Based Hospital |
title_full_unstemmed | Demographic Undertones for Sepsis Mortality in a Community-Based Hospital |
title_short | Demographic Undertones for Sepsis Mortality in a Community-Based Hospital |
title_sort | demographic undertones for sepsis mortality in a community-based hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827221/ https://www.ncbi.nlm.nih.gov/pubmed/35211214 http://dx.doi.org/10.14740/jocmr4618 |
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