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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2022
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.
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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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