Association of medical care capacity and the patient mortality of septic shock: a cross-sectional study - 18/05/24
, Chang Yin e, ⁎ , Xiang Zhou a, f, ⁎ on behalf of China National Critical Care Quality Control Centre Group (China-NCCQC)2
Highlights |
• | Effects of the hospital care capacity for septic shock on the patient mortality at the overall hospital management. |
• | Hospitals with higher care capacity for septic shock, showed a lower hospital mortality in China. |
• | Percentage of patients with severe pneumonia was positively correlating with the mortality of septic shock. |
Abstract |
Background |
Hospitals with higher septic shock case volume demonstrated lower hospital mortality. We conducted this study to investigate whether this phenomenon was only caused by the increase in the number of admissions or the need to improve the medical care capacity in septic shock at the same time.
Methods |
Seven-hundred and eighty-seven hospitals from China collected in a survey from January 1, 2021 to December 31, 2021. Medical care capacity for septic shock was explored by patients with septic shock in intensive care units (ICU) divided into beds, intensivists, and nurses respectively.
Main results |
The proportion of ICU patients with septic shock was negatively associated with the patient mortality of septic shock (Estimate [95%CI], −0.2532 [-0.5038, -0.0026]) (p-value 0.048). The ratios of patients with septic shock to beds, intensivists, and nurses were negatively associated with mortality of septic shock (Estimate [95%CI], −0.370 [−0.591, −0.150], −0.136 [−0.241, −0.031], and −0.774 [−1.158, −0.389]) (p-value 0.001, 0.011 and < 0.001). Severe pneumonia, the most common infection that caused a septic shock, correlated positively with its mortality (Estimate [95%CI], 0.1002 [0.0617, 0.1387]) (p-value < 0.001).
Conclusions |
Hospitals with higher medical care capacity for septic shock were associated with lower hospital mortality.
El texto completo de este artículo está disponible en PDF.Keywords : Medical care capacity, Septic shock, Quality control, Mortality, Hospital management
Abbreviations : ESICM, China-NCCQC, QICC, ICU, APACHE
Esquema
Vol 43 - N° 3
Artículo 101364- juin 2024 Regresar al número
Artículo precedente
- Ventilator-associated events in adults: A secondary analysis assessing the impact of monitoring ventilator settings on outcomes
- Sergio Ramírez-Estrada, Yolanda Peña-López, Marta Serrano-Megías, Jordi Rello
- Exploring congestion endotypes and their distinct clinical outcomes among ICU patients: A post-hoc analysis
- Pierre-Gregoire Guinot, Dan Longrois, Stefan Andrei, Maxime Nguyen, Belaid Bouhemad, CodOrea study group
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?